HomeMy WebLinkAbout247790 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 358403
b i'! ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $"""""""500.00'
=a CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 247790
9.y,ax Eo; 7300 TUSSING ROAD CHECK DATE: 07/28/15
y REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I0129976 250.00 OTHER EXPENSES
1093 4350100 I0129988 250.00 BUILDING REPAIRS & MA
CI-IARDON LABORATORIES
Corporate Service&Research Center
Invoice No. 10129976
7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.8489526
Fax: 614.759.2558
Web: www.chardonlabs.com
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 7
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.
o o • dgi& • o • o •
NET 30 MARK HEIRBRANDT 209396 7/16/2015
ZSERVICE Loop Service 250.00 1.00 250.00
REMIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 250.00
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
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 TUSSING ROAD Terms
REYNOLDSBURG, OH 43068 Due Date 7/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2015 10129976 $250.00
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
7/1 $
Date Officer
VOUCHER # 155975 WARRANT # ALLOWED
358403 IN SUM OF $
CHARDON LABORATORIES INC
7300 TUSSING ROAD
REYNOLDSBURG, OH 43068
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10129976 01-7362-06 $250.00
Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
�iwgl
CHARDON LABORATORIES �i'11 �'I
Corporate Service&Research Center
Invoice No 10129988
7300 Tussing Road
Reynoldsburg,Ohio 43068 �`��C—CFF—f r�I J
1.800.8489526
Fax: 614.759.2558 J U L 17 2015
Web: www.chardonlabs.com
o D • o
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. For detailed
information on these schedules,please see you Master Service Agreement.
0 • 0 • • • • D
38034 NET 30 MARK HEIRBRANDT 209473 7/16/2015
• D •
�1=03190M ® 0
ZSERVICE Loop Service 250.00 1.00 250.00
REMIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 250.00
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
lsssm250.00
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
7/16/15 10129988 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
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
358403 Chardon Laboratories, Inc. Allowed 20
7300 Tussing Road
Reynoldsburg, OH 43068
In Sum of$
I
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
Board Members
PO#Dept
or INVOICE NO. CCT#/TITL AMOUNT
Dept#
1093 10129988 4350100 $ 250.00 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
July 23, 2015
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund