HomeMy WebLinkAbout251523 11/18/15 1i C;1ALR.
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $.... *589.60"
z° CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 251523
MADISON IN 47250 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20194000 72.00 OTHER EXPENSES
1094 4350900 20194172 176.00 OTHER CONT SERVICES
1094 4350900 20194328 66.00 OTHER CONT SERVICES
1125 4350900 20194466 11.20 OTHER CONT SERVICES
1125 4350900 20194467 11.20 OTHER CONT SERVICES
1094 4350900 20194745 66.00 OTHER CONT SERVICES
1094 4350900 20194824 66.00 OTHER CONT SERVICES
1094 4350900 20195493 66.00 OTHER CONT SERVICES
1094 4350900 20195555 55.20 OTHER CONT SERVICES
Laboratory Invoice 20194172 nvironm.ental
Invoice Date: 10/28/2015 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.: 20194172
Paula Schlemmer Invoice Date: 10/28/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 09/01/2015
1411 E. 116th St. Order No.: 2015090=Y:
CARMEL, IN 46032 PO No.:
Project description:
<Ifem Test Naive Quantity -: lJnit Cost -Line"Total
' '
Collection Fee Per Sample 8 $4.00 $32.00
Pool Analysis 8 $18.00 $144.00
(Fold and Cut Here) Invoice Total: $176.00
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1
Laboratory Invoice 20194328 environmental
Invoice Date: 10/28/2015 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.: 20194328
Paula Schlemmer Invoice Date: 10/28/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 09/08/2015
1411 E. 116th St. Order No.: 201509
CARMEL, IN 46032 PO No.: �IC EIVE
Project description: OCT 29 2015
BY:
'Item/T.est.Name;; Quantity. ,`' - ,Unit Cost Line Total
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
(Fold and Cut Here) Invoice Total: $66.00
Laboratory Inv®ice 20194466 nvirnmental
Invoice Date. 10/29/2015 29 2015 ainc.
Instant/ access all of our invoices 24 hours/da ,365 da s/year b 635 Green Road,PO Box Fax: Madison,7 47250
Instantly 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.: 20194466
Paula Schlemmer Invoice Date: 10/29/2015
Carmel-Clay Parks Department Samples Received: 09/01/2015
1411 E. 116th St. Order No.: 20150904rEBY:
Carmel, IN 46302 PO No.: _E1 CEIVE
Project description: TC pCT 3 0 20 55
_----
r
yIte}m/.Test'rName' ` '' Quantity ;""�'' ;:Unit Cost ` ' LlneTofal:
Total Coliform &E.Coli P/A 1 $14.00 $14.00
I
(Fold and Cut Here) Invoice Total: $11.20
1
Laboratory Inv®ice 20194467 nvironmental
Inv 10 2015 ELaboratorles, inc.
Invoice Date: /29/
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.: 20194467
Paula Schlemmer Invoice Date: 10/29/2015
Carmel-Clay Parks Department Samples Received: 10/06/2015
1411 E. 116th St. Order No.: 201510047BY:
�.�J V ED
Carmel, IN 46302 PO No.:
Project description: C 1 3 O X015
' Item ,:.:_ �,• - Unit Cost _;4 ; LirieY-Total'
Q. ty`
Total Coliform & E.Coli P/A 1 $14.00 $14.00
(Fold and Cut Here) Invoice Total: $11.20 I
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1
Laboratory Invoice 20194745 environmental
Invoice Date: 10/30/2015 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.: 20194745
Paula Schlemmer Invoice Date: 10/30/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 09/15/2015
1411 E. 116th St. Order No.: 2015091665
CARMEL, IN 46032 PO No.:
Project description:
""
" � Item/Test Name; - Quantity ,�:��' � 'Unit Cost
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
RECEIVED
NOV - 2 2015
BY:
(Fold and Cut Here) Invoice Total: $66.00
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Laboratory Invoice 20194824 environmental
Invoice Date: 10/30/2015 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 InInvoice No.: 20194824
Paula Schlemmer Invoice Date: 10/30/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 09/22/2015
1411 E. 116th St. Order No.: 2015092040
CARMEL, IN 46032 PO No.:
Project description:
'.Item/Test_`Narne Quantity=Y' Uni,t.Cost =_ 'Line=Total.
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
RECEIVED
NOV - 2 2015
BY:
(Fold and Cut Here) Invoice Total: $66.00
Laboratory Invoice 20195493 nvironmontal
E -W .Invoice Date: 11/05/2015 aoratories, ine.
Instant) access all of our invoices 24 hours/da ,365 da s/year b 635 Green Road,PO Box Fax: Madison,7 47250
Instantly 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.: 20195493
Paula Schlemmer Invoice Date: 11/05/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 09/29/2015
1411 E. 116th St. Order No.: 2015100156
CARMEL, IN 46032 PO No.:
Project description:
Item/Test Name f Quantity : Unit Cost: y.`f r. ,Line Total:
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
RECEIVED
NOV - 6 2015
BY:
(Fold and Cut Here) Invoice Total: $66.00 i
Laboratory Invoice 20195555 Environmental
a
Invoice Date: 11/05/2015 1aaboratorles, 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.: 20195555
Paula Schlemmer Invoice Date: 11/05/2015
Carmel-Clay Parks-Monon Community Center Samples Received: 10/06/2015
1411 E. 116th St. Order No.: 2015100572
CARMEL, IN 46032 PO No.:
Project description:
;Item/Test-Name: .Quantity >..Y. Urif Cost Lirie`lotal,
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
20% Discount Applied 1 ($10.80} ($10.80)
RECEi�.�T�n
NOV - 6 2015
BY:
(Fold and Cut Here) Invoice Total: $55.20
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
10/28/15 201941"72 Pool Water testing MCC 9/1/15 38882 $ 176.00
10/28/15 20194328 Pool Water testing MCC 9/8/15 38882 $ 66.00
10/29/15 20194466 Water Testing Flowing Well 9/1/15 $ 11.20
10/29/15 20194467 Water Testing Flowing Well 10/6/15 $ 11.20
10/30/15 20194745 Pool Water testing MCC 9/15/15 38882 $ 66.00
10/30/15 20194824 Pool Water testing MCC 9/22/15 38882 $ 66.00
11/5/15 20195493 Pool Water testing MCC 9/29/15 38882 $ 66.00
11/5/15 20195555 Pool Water testing MCC 10/6/15 38882 $ 55.20
" Total $ 517.60
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$
$ 517.60
ON ACCOUNT OF APPROPRIATION FOR
101 General /109 Monon Cneter
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1094 20194172 4350900 $ 176.00 1 hereby certify that the attached invoice(s), or
1094 20194328 4350900 $ 66.00 bill(s) is (are)true and correct and that the
1125 20194466 4350900 $ 11.20 materials or services itemized thereon for
1125 20194467 4350900 $ 11.20 which charge is made were ordered and
1094 20194745 4350900 $ 66.00 received except
1094 20194824 4350900 $ 66.00
1094 20195493 4350900 $ 66.00
1094 20195555 4350900 $ 55.20
November 6, 2015
Signature
$ 517.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Laboratory Invoice 20194000 environmental
Invoice Date: 10/27/2015 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.: 20194000
Jamie Foreman Invoice Date: 10/27/2015
Carmel Utilities Samples Received: 09/22/2015
3450 W. 131st Street Order No.: 2015082057
Carmel, IN 46074 PO No.:
Project description: SOC
J_ Item/Test Name _ Quantity Unit Cost __Line Total
SOC With Glyphosate 1 $0.00 $0.00
SOC-J 547 Glyphosate 1 $90.00 $90.00
SOC-K 508A PCB 1 $0.00 $0.00
SOC-L Dioxin-Method 1613 1 $0.00 $0.00
(Fold and Cut Here) J Invoice Total: - $72.00
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 11/5/2015
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 20194000 $72.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
corrdct and I have audited same in accordance with IC 5-11-10-1.6
it�i2�s �✓k-__
Date Officer
VOUCHER # 153498 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
20194000 01-6350-03 $72.00
Voucher Total $72.00
Cost distribution ledger classification if
claim paid under vehicle highway fund