252607 12/15/15 +pr_C�q�
�/ CITY OF CARMEL, INDIANA VENDOR: 367946
® ONE CIVIC SQUARE ELEMENT MATERIALS TECHNOLOGY LLWECK AMOUNT: S"'""""276.80"
f'. ��� CARMEL, INDIANA 46032 32599 COLLECTION CENTER DRIVE CHECK NUMBER: 252607
.y,�ioN�°' CHICAGO IL 60693-0325 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EFW151278IN 276.80 OTHER EXPENSES
,dement Materials Technology Daleville,LLC
element 32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: October 30, 2015
TEL:(765)378-4141
Website:inmelement.com Print Date: October 30, 2015
Invoice No: EFW1512781N
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel W WTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Chicago,IL 60693-0325
Indianapolis,IN 46280-2935 TEL:(765)378-4141
TEL:
WorkOrder Test Total Misc.Charge Total Discount Surcharge Workorder Total
15100215 $254.00 $5.00 0.1 0 I $233.60
15100217 $48.00 $0.00 0.1 0 $43.20
Prepaid: $0.00 Please Pay this amount : $276.80
Sample Details: Analysis Remarks Price
WorkOrder: 15100215
Lab Sample ID: 15100215-001 '"7 3S P IIS
Date Received: 10/2/2015 AMMONIA as N in SLUDGE $26.74
Client Sample ID: Sludge Produced Sept 2015-Carme METALS IN SOLID BY ICP,3050B Prep $34.76
Matrix: Sludge Metals in Solids by ICP-MS,3050B Prep $104.28
SDG: NITRATE IN SLUDGE $22,28
Project Name: Sludge Produced Sept 2015 PERCENT MOISTURE $10.69
Solids,Total $10.69
SOPREP TOTAL METALS:ICP $13.37
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.19
Miscellaneous Charge Summary 1Test TOTAL: $254.00
Item Unit Qty TotatDiscount: 10.0%
Sample Disposal $5.00 1 $5.00 Surcharge: 0.0%
Miscellaneous Charges: -$5.00
Total Workorder Amount: $233.60
Prepaid: $0.00
BalanceDue: $233.60
Comments:
Workorder: 15100217
Lab Sample ID: 15100217-001
Date Received: 10/2/2015 Fecal Coliforms in Sludge,MPN $38.40
Client Sample ID: Biosolids D3 to C1 Solids,Total $9.60
Matrix: Sludge
SDG:
Project Name: Biosolids D3 to C1
® n„Flement Materials Technology Daleville,LLC
element 32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: October 30, 2015
TEL:(765)378-4141
Print Date: October 30, 2015
Website:invw.element.coar
Invoice No: EFW161278IN
Client PO
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel W WTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Chicago,IL 60693-0325
Indianapolis,IN 46280-2935 TEL:(765)378-4141
TEL:
Test.TOTAL: $48.00
Discount: 10.0%
Surchar e. 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $43.20
Prepaid: $0.00
13alanceDue: $43.20
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
VOUCHER # 156833 WARRANT # ALLOWED
351367 IN SUM OF $
ELEMENT MATERIALS TECHNOLOGY
32599 COLLECTION CENTER DRIVE
CHICAGO, IL 60693-0325
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
EFW15127811 01-7352-05 $276.80
I
Voucher Total $276.80
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
j 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
351367
ELEMENT MATERIALS TECHNOLOGY DALEVI ' Purchase Order No.
32599 COLLECTION CENTER DRIVE Terms
CHICAGO, IL 60693-0325 Due Date 12/9/2015
Invoice Invoice Description
j Date Number (or note attached i;nvoice(s) or bill(s)) Amount
12/9/2015 EFW1512781 ; $276.80
i
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