244470 04/21/15 `�y_csq,,� CITY OF CARMEL, INDIANA VENDOR: 355990
® ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $**"*"*44.00`
?� CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 244470
�.y TON. ` MADISON IN 47250 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20180359 44.00 OTHER CONT SERVICES
Laboratory Invoice 20180359 ` °'
2 ratpries-j .
Invoice Date: 04/07/2015 hoo
635 Green Road,PO Box 968,Madison,IN 47250
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Billing Information Invoice No.: 20180359
Paula Schlemmer Invoice Date: 04/07/2015
Carmel-Clay Parks/Monon Community Center Samples Received: 03/31/2015
1411 E. 116th St. Order No.: 2015040227
CARMEL, IN 46032 PO No.:
:ate Item/TestName Quanj tir 0 E Unit Cost Line l otal
Collection Fee Per Sample 2 $4.00 $8.00
Pool Analysis 2 $18.00 $36.00
=01
fCrJrl nnrl r`iit Hann) Invoice Total: $44.00 _�
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No'.
355990 Environmental Laboratories, Inc. Terms
P.O. Box 968
Madison, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/7/15 20180359 MCC Pool water testing 3/31/15 37304 $ 44.00
Total $ 44.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
—, 20—
Clerk-Treasurer
V
Voucher No. Warrant No.
P.
355990 Environmental Laboratories, Inc. if Allowed 20
P.O. Box 968
Madison, IN 47250
In-Sum-of$ .
$ 44.00
i.
ON ACCOUNT OF APPROPRIATION FOR
109 Motion Center
1
PO#or Board Members
Dept# INVOICE NO. ACCT#ITITLt AMOUNT
1094 20180359 4350900. $ , 44.00 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
l April 16, 2015
44.00. Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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