HomeMy WebLinkAbout252068 12/02/15 1 oi.&�qy
��/ F. CITY OF CARMEL, INDIANA VENDOR: 355130
® `I ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES CHECK AMOUNT: $•"""`179.98•
r. ,?� CARMEL, INDIANA 46032 P 0 sox 8 CHECK NUMBER: 252068
9�'�Tod�°, BIRNAMWOOD WI 54414 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 364186 179.98 OTHER EXPENSES
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Em364186
Email::nclabs@nclabs.com bsnclabs.com �1 UU VV `,/ U INVOICE NO.
INVOICE DATE
S CITY OF CARMEL 11/11/2015
O 9609 HAZEL DELL-PARKWAY YOUR ACCOUNT NO.
L 7804
D . INDIANAPOLIS, IN 46280 YOUR ORDER NO.
S15598
T
O SHIPPED uJQ 11/10/2015
-a sE►IPa L tiASTEWATER`TRT-PLANT,--9609-HAZEL DELL PARKWAY, INDIANAPOLIS, IN "46280
QUANTITY DESCRIPTION UNIT PRICE EXTENDED PRICE
1 500 g-N-50, `Nitrification Inhibitor 166.40 166.40
Delivery Charges 13..58
SUB-TOTAL 179.98
WI Sales Tax-Exempt .00
TOTAL 179:98
Thank you for-your order! !
PLEASE PAY FROM THIS INVOICE WITHIN 30 DAYS
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood,WI 54414 .
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VOUCHER # 156751 WARRANT# ALLOWED
355130 IN SUM OF $
NORTH CENTRAL LABORATORIES
POBOX 8 r
BIRNAMWOOD, WI 54414
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
364186 01-7202-05 $179.98
i
Voucher Total $179.98
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI 54414 Due Date 11/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/201! 364186 $179.98
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