248797 08/26/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 367946
ONE CIVIC SQUARE ELEMENT MATERIALS TECHNOLOGY LL%HECK AMOUNT: S"'"'"'276.80`
CARMEL, INDIANA 46032 32599 COLLECTION CENTER DRIVE CHECK NUMBER: 248797
CHICAGO IL 60693-0325 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EFW145242IN 276.80 OTHER EXPENSES
Element kfaterials Technology Daleville,LLC
@) element"""" 32599 Collection Center Drive INVOICE
materials technology Chicago,1L 60693-0325
TEL:(765)378-4141 Invoice Date: July 29, 2015
Website:mivucelemenrcom Print Date: July 29, 2015
Invoice No: EFW145242IN
Client PO
Account Code 80142
INVOICE TO: Client 1D: CARMEL WWTP REMIT TO:
Cannel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis,IN 46280-2935 Chicago, IL 60693-0325
TEL: TEL:(765)378-4141
WorkOrder Test Total Misc. Charge Total Discount. Surcharge WorkOrder Total
15070757 $48.00 $0.00 0.1 0 $43.20
15070756 $254.00 $5.00 0.1 0 $233.60
Prepaid: $0.00 Please Pay this amount : $276.80
Sample Details: Analysis Remarks Price
WorkOrder : 15070756
Lab Sample ID: 15070756-001
Date Received: 7/8/2015 AMMONIA as N in SLUDGE $26.74
Client Sample ID: Sludge Produced June 2015-Carme METALS IN SOLID BY ICP,3050B Prep $34.76
Matrix: Sludge Metals in Solids by ICP-MS,3050B Prep $104.28
SDG: NITRATE IN SLUDGE $22.28
Project Name: Biosolids PERCENT MOISTURE $10.69
Solids,Total $10.69
SOPREP TOTAL METALS:ICP $13.37
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.19
Miscellaneous Charge Summary I Test TOTAL: $254.00
Item Unit Qty Totalo
Discount: 10.0%
Sample Disposal $5.00 1 $5.00 Surcharge:) 0.0%
Miscellaneous Char es: $5.00
Total Workorder Amount:1 $233.60
Pre aid: $0.00
13alanceDue: $233.60
Comments:
WorkOrder : 15070757
Lab Sample ID: 15070757-001
Date Received: 7/8/2015 Fecal Coliforms in Sludge,MPN $38.40
Client Sample ID: Biosolids D3-C2 Solids,Total $9.60
Matrix: Sludge
SDG:
Project Name: Biosolids D3-C2 Fecal Testing
Page 1 of 2
„ lemenf A4aterials Technology Daleville,LLC
@) element 32599Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325
TEL:(765)378-4141 Invoice Date: July 29, 20/5
Mebsite:ivu,melement.com Print Date: July 29, 2015
Invoice No: EFW145242IN
Client PO
Account Code 80142
INVOICE TO: Client ID: CARA4EL JVWTP REMIT TO:
Carmel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Indianapolis, IN 46280-2935 Chicago, IL 60693-0325
TEL: TEL:(765)378-4141
Test TOTAUJ $48.00
Discount: 10.0%
Surcharge:Surcharge:1 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $43.20
Prepaid: $0.00
BalanceDue: $43.20
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 2 of 2
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
invo c;� cr J tc ;:e properly itemized must sho,,,.,, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351367
ELEMENT MATERIALS TECHNOLOGY DALEVI Purchase Order No.
32599 COLLECTION CENTER DRIVE Terms
CHICAGO, IL 60693-0325 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 EFW1452421 $276.80
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
V000HE-R u 156127 WARRANT " ALLOWED
351367 IN SUM OF S
ELEMENT MATE TECHNOLOGY
CJL=TION `:ENTEF Df�.NP ---- ---- ---- ---
CHICAGO. IL 60693-0325
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
EFW14524211 01-7352-05 $276.80
Voucher Total $276.80
I
Cost distribution ledger classification if
claim paid under vehicle highway fund