244674 04/29/15 Q�q
v` CITY OF CARMEL, INDIANA VENDOR: 358403
q ,1 ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $•""'"'250.00'
?� CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 244674
7300 TOSSING ROAD CHECK DATE: 04/29/15
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 20125771 250.00 BUILDING REPAIRS & MA
CHARDON L.ABORATORES APR 17 2015 0
Corporate Service&Research Center Invoice No. 10125771
7300 Tussin�,g Road B�`a ..
Reynoldslurg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web:www.chardonlabs.com
• . . TO:
DAWN KOEPPER A/P MICHAEL KILPATRICK
CARMEL CLAY PARKS&RECREATION MCC-WEST
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CARMEL, IN 46032
To include the applicable chemicals&service outlined-in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for"Closed Systems. Foa detaiiedf
information on these schedules;please see you Master Service Agreement.
CUSTOMER • NO. TERMS SALES PERSON • • INVOICE
38034 NET 30 MARK HEIRBRANDT 209473 4/16/2015
ITEM • DESCRIPTION UNIT PRICE CITY EXTENDED PRICE
ZSERVICE Loop Service 250.00 1.00 250.00
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 250.00
ACCOUNTS RECEIVABLE
7300 TUSSING ROAD Trade Discount 0.00
REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 250.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
• 250.00
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.
358403 Chardon Laboratories, Inc. Terms
7300 Tussing Road
Reynoldsburg, OH 43068
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/16/15 10125771 Quarterly service for boiler filter units 38371 $ 250.00
Total $ 250.00 .
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
1
20—
Clerk-Treasurer
jj
I
I
Voucher No. Warrant No.
358403 Chardon Laboratories, Inc. .!Allowed . 20
_
'7300 Tussing Road
Reynoldsburo, OH 43068
In_Sum,of$
$ 250.00 I_ _
ON ACCOUNT OF APPROPRIATION FOR
109 =Monon Center
}
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1093 10125771 4350100 $_ 250.00. it hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
_. . -
l -tialsmator services itemized thereon for
which charge is made were ordered and
received except
April 23,2015
Signature
$ 250.00 Accounts Payable_Coordinator
Cost distribution ledger classification if - Title
claim paid motor vehicle highway fund