250207 10/07/1 5 G�q .
"';' CITY OF CARMEL, INDIANA VENDOR: 368197
® ONE CIVIC SQUARE EUROFINS EATON ANALYTICAL, INC CHECK AMOUNT: $.....""400.00'
;� CARMEL, INDIANA 46032 PO BOX 95362 CHECK NUMBER: 250207
<„_ro�-�� GRAPEVINE TX 76099-9733 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S243496 400.00 OTHER EXPENSES
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Customer Information
Eurofins Eaton Analytical,Inc. Invoice Date: 2015-09-30
110.South Hill Street
South Bend,IN 46617 Payment Terms: NET 30 DAYS
Order H: 268420
Report il: 349258
Client fl: 5683
D- P.O.9: LT2 DrinkingWater
Invoice 9 S243496 Customer Contact: Kerri Loveall
Description/Matrix/Sample Type Unit Price Qty $Disc Net
Giardia/Cryptosporidium(Filter)\SW FS $450.00 1 $50.00 $400.00
Sample Kit,Bottles,Preservatives No Charge
Collection Instructions No Charge
State Approved Report,if req'd No Charge
Standard Outgoing Shipping No Charge
Site Description: Total Tests I Total($US) $400.00
See Enclosed report for details.
A Finance Charge of 1.5%per month Thank you for selecting Eurofins Eaton Analytical, Inc.
may be added to past-due accounts. for your analytical services.
Simplify your life. With one call,Eurofins Eaton Analytical can pre-schedule all your bottle shipments so that
your bottles arrive just in time for monitoring. Provide your monthly,quarterly,or annual requirements to your
analytical service manager and we'll ship out your bottles when needed for the entire year.
If you have any questions concerning this invoice,please do not hesitate to call us at 1-800-332-4345.
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Page I of 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
368197
EUROFINS EATON ANALYTICAL INC Purchase Order No.
PO BOX 95362 Terms
GRAPEVINE, TX 76099-9733 Due Date 10/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2015 S243496 $400.00
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 # 153200 WARRANT# ALLOWED
368197 IN SUM OF $
EUROFINS EATON ANALYTICAL INC
PO BOX 95362
GRAPEVINE, TX 76099-9733
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S243496 01-6350-03 $400.00
Voucher Total $400.00
Cost distribution ledger classification if
claim paid under vehicle highway fund