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250660 10/21/15 °';F� CITY OF CARMEL, INDIANA VENDOR: 355990 ® it _ ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: S"""5,616.00" ?� CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 250660 yiroN,`o, MADISON IN 47250 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350900 20182075 44.00 OTHER CONT SERVICES 601 5023990 20192461 376.00 OTHER EXPENSES 601 5023990 20192462 1,504.00 OTHER EXPENSES 601 5023990 20192495 224.00 OTHER EXPENSES 601 5023990 20192874 760.00 OTHER EXPENSES 601 5023990 20192875 1,188.00 OTHER EXPENSES 601 5023990 20192876 760.00 OTHER EXPENSES 601 5023990 20192877 760.00 OTHER EXPENSES Laboratory Invoice 20182075 nvir°nmental ELaboratories, 11C. Invoice Date: 05/15/2015 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.: 20182075 Paula Schlemmer Invoice Date: 05/15/2015 Carmel-Clay Parks-Monon Community Center Samples Received: 05/05/2015 1411 E. 116th St. Order No.: 2015050484 CARMEL, IN 46032 PO No.: Project description: rJ, Name , r - Unit`Cost Llne Tota-I Item/Test Collection Fee Per Sample 2 $4.00 $8.00 Pool Analysis 2 $18.00 $36.00 ) Fold and Cut Here Invoice Total: $44.00 _` ( 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. 355990 Environmental Laboratories, Inc. Terms P.O. Box 968 Madison, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 5/15/15 20182075 Pool water testing MCC 5/5/15 37304 $ 44.00 Total $ 44.00 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. 355990 Environmental Laboratories, Inc. Allowed 20 P.O. Box 968 Madison, IN 47250 In Sum of$ $ 44.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Cneter PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 20182075 4350900 $ 44.00 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 October 12, 2015 Signature $ 44.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund T 'n N Laboratory Inv®ice 20192461 Fnvironmental Invoice Date: 10/01/2015 Laboratories, inc. Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road,PO Box Madison, IN 47250 Tel:812.273.6699 Fax: 812.273.5788 going to www.envirolabsinc.com and clicking on Client Data Support. Billing Information Invoice No.: 20192461 Jaimie Foreman Invoice Date: 10/01/2015 Carmel-Clay Water Samples Received: 09/15/2015 3450 W 131st Street Order No.: 2015091437 Carmel, IN 46074 PO No.: Project description: TTHM HAA5 I Item/Test Name Quantity Unit Cost Line Total HAA5 2 $160.00 $320.00 Total THM 2 $75.00 $150.00 ?wQ S C) 21�Z (Fold and Cut Here) Invoice Total: $376.00 �� Laboratory Invoice 20192495 nvironmental Invoice Date: 10/01/2015 Eaboratorries , 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.: 20192495 Jamie Foreman Invoice Date: 10/01/2015 Carmel Utilities Samples Received: 09/01/2015 3450 W. 131st Street Order No.: 2015090494 Carmel, IN 46074 PO No.: Project description: TC Item/Test Name Quantity Unit Cost Line Total Total Coliform &E.Coli P/A 20 $14.00 $280.00 10lou 1(S Qj4y�� -4ZI -bZ (Fold and Cut Herel) u^ � Invoice Total: $224.00 Laboratory Invoice 20192462 E 'Nrnvironmental Invoice Date: 10/01/2015 aborator.ies, inc. Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road,PO Box Madison,7 47250 Tel:812.273.6699 Faax:x:812.273.5788 going to www.envirolabsinc.com and clicking on Client Data Support. Billing Information Invoice No.: 20192462 Jamie Foreman Invoice Date: 10/01/2015 Carmel Utilities Samples Received: 09/15/2015 3450 W. 131st Street Order No.: 2015091439 Carmel, IN 46074 PO No.: Project description: TTHM HAA5 Item/Test Name Quantity Unit Cost Line Total HAA5 8 $160.00 $1,280.00 Total THM 8 $75.00 $600.00 C*X� 421 �2 (Fold and Cut Here) � ` � Invoice Total: $1,504.00 Laboratory Invoice 20192875 nvironmental s Invoice Date: 10/10/2015 EV' . 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.: 20192875 Jamie Foreman Invoice Date: 10/10/2015 Carmel Utilities Samples Received: 09/22/2015 3450 W. 131st Street Order No.: 2015082057 Carmel, IN 46074 PO No.: Project description: SOC i Item/Test Name Quantity Unit Cost Line Total i SOC With Glyphosate 1 $1,040.00 $1,040.00 i SOC-J 547 Glyphosate 1 $0.00 $0.00 SOC-K 508A PCB 1 $95.00 $95.00 SOC-L Dioxin-Method 1613 1 $350.00 $350.00 I�z�� r M9 V (Fold and Cut Here) Invoice Total: $1,188.00 Laboratory Invoice 20192877 nvironmental Invoice Date: 10/10/2015 ELaborator.ies, 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.: 20192877 Jamie Foreman Invoice Date: 10/10/2015 Carmel Utilities Samples Received: 08/14/2015 3450 W. 131st Street Order No.: 2015082059 Carmel, IN 46074 PO No.: Project description: SOC Item/Test Name Quantity Unit Cost Line Total SOC w/o Glyphosate 1 $950.00 $950.00 l�llz�i5 (Fold and Cut Here) Invoice Total: $760.00 Laboratory Invoice 20192874 nvironmental Invoice Date: 10/10/2015 ELaboratories, 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.: 20192874 Jamie Foreman Invoice Date: 10/10/2015 Carmel Utilities Samples Received: 08/14/2015 3450 W. 131st Street Order No.: 2015082055 Carmel, IN 46074 PO No.: Project description: SOC Item/Test Name Quantity Unit Cost Line Total SOC w/o Glyphosate 1 $950.00 $950.00 6d� O- 14 (Fold and Cut Here) Invoice Total: $760.00 1 Laboratory Invoice 20192876 environmental Invoice Date: 10/10/2015 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.: 20192876 Jamie Foreman Invoice Date: 10/10/2015 Carmel Utilities Samples Received: 08/14/2015 3450 W. 131st Street Order No.: 2015082058 Carmel, IN 46074 PO No.: Project description: SOC Item/Test Name Quantity Unit Cost Line Total SOC w/o Glyphosate 1 $950.00 $950.00 )0-10 t) b 1 , 1z�� 5 . Z 52- (Fold and Cut Here) Invoice Total: $760.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 10/13/2015 MADISON, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13/201; 20192461 $376.00 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 y5-11-10-1.6 Date Officer VOUCHER # 153294 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 20192461 01-6350-03 $376.00 �o q ztt l42 ; I`3o4•CD 2c�I g';Lg -7-1 C1 -Tq Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund