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247002 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 00353237 ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: $..... 240.45` CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 247002 t"rro� DALLAS TX 75320-4290 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 24169102 109.20 OTHER EXPENSES 651 5023990 24169267 131.25 OTHER EXPENSES TestAmerica THE LEADER IN ENVIRONMENTAL TESTING Invoice/Credit No. 24169267 Invoice Date June 23,2015 Terms See Below Federal Tax ID 23-2919996 Remit toTestAmerica Laboratories,Inc. PO BOX 204290, Dallas,TX 75320-4290 Bill to: Ship to: Carmel W WTP Carmel W WTP Attn: Accounts Payable 9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy Indianapolis, IN 46280 Indianapolis, IN 46280 P.O.Number W.O. Number Contract Number Work Ordered b TARA Tara Washington . Job Description Site Name SDG Number Invoice Contact See below Tara Washington Job No. Job Description Receipt Date Quantity Unit Price Amount Method/Test Description J51730-1 Tara 06/09/2015 8015B-TPH-GRO 1.00 65.00 65.00 8015C-TPH-DRO 1.00 60.00 60.00 Environmental Management Fee 1.00 6.25 6.25 h Project Number Client Number Project Manager Subtotal $131.25 24009460 1445697 Amy McCormick Latest Sample Receipt Date Latest Report Date Phone Number Total $131.25 06/09/2015 06/23/2015 330 966-9787 For proper credit,please include invoice number on all remittance. TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720 This invoice falls under TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in Page 1 of 1 place at the time these services were rendered. TestAmedcal THE LEADER IN ENVIRONMENTAL TESTING Invoice/Credit No. 24169102 Invoice Date June 19,2015 Terms See Below Federal Tax ID 1 23-2919996 Remit to TestAmerica Laboratories, Inc. PO BOX 204290, Dallas,TX 75320-4290 Bill to: Ship to: Carmel WWTP Carmel WWTP Attn: Accounts Payable 9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy Indianapolis, IN 46280 Indianapolis, IN 46280 P.O.Number W.O.Number Contract Number Work Ordered b S15139 Tara Washington Job Description Site Name SDG Number Invoice Contact See below Tara Washington Job No. Job Description Receipt Date Quantity Unit Price Amount Method/Test Description J51568-1 Carmel 06/04/2015 200.8-Total Recoverable Cd,Cr,Cu,Ni, Pb,Zn 1.00 104.00 104.00 Environmental Management Fee 1.00 5.20 5.20 Project Number Client Number Project Manager Subtotal $109.20 24009460 1445697 Amy McCormick Latest Sample Receipt Date Latest Report Date Phone Number Total $109.20 06/04/2015 06/19/2015 330 966-9787 For proper credit,please include invoice number on all remittance. TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720 This invoice falls under TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in Page I of 1 place at the time these services were rendered. 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 00353237 TESTAMERICA INC Purchase Order No. PO BOX 99742 Terms Chicago, IL 60690 Due Date 6/24/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/24/2015 24169267 $131.25 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 VOUCHER # 155787 WARRANT # ALLOWED 00353237 IN SUM OF $ TESTAMERICA INC PO BOX 99742 Chicago, IL 60690 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 24169267 01-7352-05 $131.25 )`il(->glo-. ©i -13s,9-oS lo`?'010 Voucher Total --� ` Cost distribution ledger classification if claim paid under vehicle highway fund