246741 06/30/15 *"• CITY OF CARMEL, INDIANA VENDOR: 358403
1 ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*******884.00*
s9 a CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 246741
7300 TOSSING ROAD CHECK DATE: 06/30/15
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 20123972 634.00 OTHER CONT SERVICES
651 5023990 20125761 250.00 OTHER EXPENSES
/2,0
CHARDON LABORATORIES '
Corporate Service&Research Center Invoice No. 10123972
7300 Tussing Road Order No. 00044824
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax:614.759.2558
Web:www.chardonlabs.com
• .
ACCOUNTS PAYABLE JOHN DUF
CITY OF CARMEL-DEPT OF ADMIN RMEL ENERGY CENTER
ONE CIVIC SQUARE 777 THIRD E SW
CARMEL,IN 46032 CARMEL,IN 46032
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed
information on these schedules,please see you Master Service Agreement.
CUSTOMER P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE
NET 30 MARK HEIRBRANDT 297709 2/19/2015
ITEM • I DESCRIPTIONCITY EXTENDED PRICE
SN10.05 SN-10 5 GALLON 297.00 2.00 594.00
FJUNSubmitted T®
2.9 2015
Clerk Treasurer
REMIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 594.00
7300 TUSSING ROAD Trade Discount 0.00
REYNOLDSBURG, OHIO 43068 Shipping&Handling 40.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 634.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
• 634.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chardon Laboratories
IN SUM OF$
7300 Tussing Road
Reynoldsburg, OH 43068
$634.00
ON ACCOUNT OF APPROPRIATION FOR
Building Operations Account
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1208 I 10123972 I -509.00 I $634.00 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
Monday, June 29, 2015
Director, Adminstration
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
02/19/15 10123972 Energy Center $634.00
SII
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
20
Clerk-Treasurer
C3-A )IN LABORATORIES
Corporate Service&Research Center Invoice No. 10125761
7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.848.9524
Fax: 614.759.2558
Web:www.chardonlabs.com
• . TO: TO:
PAUL ARNONE JEFF COOPER
CARMEL WASTE WATER TREATMENT CARMEL W W T P
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
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. For detailed
information on these schedules,please see you Master Service Agreement.
CUSTOMER P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE
NET 30 MARK HEIRBRANDT 209396 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
VOUCHER # 155763 WARRANT # I ALLOWED
358403 f IN SUM OF $
CHARDON LABORATORIES INC
7300 TUSSING ROAD
REYNOLDSBURG, OH 43068
Carmel Wastewater Utility I
ON ACCOUNT OF APPROPRIATION FOR
Board members
1
PO# INV# ACCT# AMOUNT Audit Trail Code
10125761 01-7362-06 $250.00
t�
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i
,I
a
.I
1
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Voucher Total $250.00 I
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
358403
CHARDON LABORATORIES INC Purchase Order No.
7300 TOSSING ROAD Terms
REYNOLDSBURG, OH 43068 Due Date 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 10125761 $250.00
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