246779 06/30/15 4a�t Cgy�f
�/ ,• CITY OF CARMEL, INDIANA VENDOR: 00351811
® ; ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOC1089CK AMOUNT: $*"*****516.54*
s9\ �_� CARMEL, INDIANA 46032 DEPT CH19753 CHECK NUMBER: 246779
y��TON,E° PALATINE IL 60055-9753 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 747897 516.54 OTHER EXPENSES
Invoice:' ':< - 747897
Account:�.': �-::r C397201
ERAL.
Date;:_>`='-',a. 1 3/20/2015
A Waters Company
Federal Tax ID: 36-2912479
Bill To: Ship To:
Carmel Utilities Carmel Utilities
Accounts Payable 9609 Hazel Dell Parkway
9609 Hazel Dell Parkway Indianapolis, IN 46280
Indianapolis, IN 46280 USA
USA
Payment Terms Shipping,Method Purchase Order No f1-5KQFL,V03_1615FE
NET 30 FEDEX ECON S14560
Cat# Item Description Lot Quantity Unit Price Ext.Price
576 WasteWatRM Coliform MicrobETm Q035-083 1.00 $120.00 $120.00
579 Complex Nutrients Q035-525 1.00 $62.00 $62.00
584 Simple Nutrients Q035-505 1.00 $70.00 $70.00
6160 DMR-QA Mini-Set#6 Q035-6160 1.00 $222.00 $222.00
Remit To: For ACH/EFT: Subtotal;..:;,;';;; $474.00
Environmental Resource Associates Environmental Resource Associates Payment: $0.00
Dept CH 19753 HSBC Bank USA, NA
Palatine, IL 60055-9753 452 5th Avenue New York, NY 10008 Handling:._, $10.00
Phone: 800-372-0122/303-431-8454 Account#: 000-16397-0 Tax !j';., $0.00
Fax: 303-421-0159 ABA#: 021001088
www.eragc.com Swift: MRMDUS33 Currency: USD Freight $32.54
Discount: $0.00
Amount Due: $516.54
�✓ �\ �� 0 \\ Page 1/1
t
VOUCHER # 155765 WARRANT# ALLOWED
351811
IN SUM OF $
ENVIRONMENTAL RESOURCE ASSOC
DEPT. CH 19753
PALATINE, IL 60055-9753
i
't
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
�l
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
.1
747897 01-7352-05 $516.54 I�
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Voucher Total $516.54
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
a i
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
351811
ENVIRONMENTAL RESOURCE ASSOCIA Purchase Order No.
DEPT.,CH 19753 Terms
PALATINE, IL 60055-9753 Due Date 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 747897 $516.54
i
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
&A-4/5 —
Date Officer