249242 09/09/15 ur_C4AM"
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $...**1,212.00*
CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 249242
+ .o MADISON IN 42250 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20190053 1,188.00 OTHER EXPENSES
601 5023990 20190123 24.00 OTHER EXPENSES
Laboratory Invoice 20190123 environmental
Invoice Date: 08/21/2015 aboratorles, inc.
Instant/ access all of our invoices 24 hours/da 365 da s/year b 635 Green Road,PO Box ax: Madison,7 47250
Y Y Y. Y Y Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20190123
Jamie Foreman Invoice Date: 08/21/2015
Carmel Utilities Samples Received: 07/14/2015
3450 W. 131st Street Order No.: 2015072125
Carmel, IN 46074 PO No.:
Project description: TOC
Item/Test Name Quantity Unit Cost Line Total
Total Organic Carbon (TOC) 1 $30.00 $30.00
Invoice Total: $24.00
(Fold and Cut Here)
1
Laboratory Invoice 20190053 environmental
Invoice Date: 08/19/2015 Laboratories, inc.
635 Green Road,PO Box 968,Madison,IN 47250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20190053
Jamie Foreman Invoice Date: 08/19/2015
Carmel Utilities Samples Received: 05/15/2015
3450 W. 131st Street Order No.: 2015051024
Carmel, IN 46074 PO No.:
Project description: SOC
Item/Test Name Quantity Unit Cost Line Total
SOC With Glyphosate 1 $1,040.00 $1,040.00
SOC-K 508A PCB 1 $95.00 $95.00
SOC-L Dioxin-Method 1613 1 $350.00 $350.00
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L
Fold and Cut Here) Invoice Total: $1,188.00
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 8/31/2015
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2015 20190053 $1,188.00
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
Date Officer
VOUCHER # 152952 WARRANT # ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD.
P.O. BOX 968
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
20190053 01-6350-03 $1,188.00
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Voucher Total '� $V' $' -
Cost distribution ledger classification if
claim paid under vehicle highway fund