246266 06/17/15 d.5�q
CITY OF CARMEL, INDIANA VENDOR: 361475
ONE CIVIC SQUARE DAILY LABORATORIES CHECK AMOUNT: $ ***,**125.00t
CARMEL, INDIANA 46032 2200 W ALTORFER SUITE B CHECK NUMBER: 246266
PEORIA IL 61615 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6770 125.00 OTHER EXPENSES
Daily Laboratories :vo.
Division of Mobilab,Inc. Invoice
2200 W.Altorfer Dr. Suite B ••®®�
Peoria, IL 61615
(309)691-4513 ...___ Number: 6770
Date: 5/29/2015
Bill To: Ship To:
Tara Washington
City of Carmel WWTP
9609 Hazel Dell Pkwy
Indianapolis,IN,46280
P.O.Number Terms Details Project
515127 130 days Idistilled 05/22/15
Date Quantity Description. Price Ea Amount .
05/25 1 Suitability test on distilled water $125.00 $125.00
Thank you for your business. [TO
ta I $125.00
Visit us at www.dailylaboratories.com
Email: dailylab@gmail.com
We accept credit cards. Call us for details.
VOUCHER # 155653 WARRANT # ALLOWED
361475 IN SUM OF $
DAILY LABORATORIES
5120 BIG HOLLOW ROAD
PEORIA, IL 61615
I
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
y
i Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
6770 01-7352-05 $125.00
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Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361475
DAILY LABORATORIES Purchase Order No.
5120 BIG HOLLOW ROAD Terms
PEORIA, IL 61615 Due Date 6/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2015 6770 $125.00
i
I 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
Date Officer