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254089 02/05/16 1�p�C�gMf / \ CITY OF CARMEL, INDIANA VENDOR: 355990 J' f„ ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $********88.00* CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 254089 MADISON IN 47250 CHECK DATE: 02/05/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350900 20200778 44.00 OTHER CONT SERVICES 1094 4350900 20200854 44.00 OTHER CONT SERVICES Laboratory Invoice 20200778r-�° t - Invoice Date: 01/22/2016 �a �fr1 � A1C. yh 635 Green Ro,d;PO Box..968 M d 1 47250 Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812. 73:6699 Fax:812:273 5788. going to www.envirolabsinc.com and clicking on Client Data support. Billing Information ;Invoke No X20200778 Paula Schlemmer Carmel-Clay Parks-Monon Community Center Samples Received: 01/12/2016 1411 E. 116th St. Order No.: 2016010658 CARMEL, IN 46032 PO No.: Project description: '.Item/Test Name Quantltye ^ Unit Cost Line Total Collection Fee Per Sample 2 $4.00 $8.00 Pool Analysis 2 $18.00 $36.00 RE' CED'V`E JAN 2 5 2016 BY: (Fold and Cut Here) Invoice•-Total - Laboratory Invoice 20200854 6 �xa� iro Invoice Date: 01/25/2016 - 635 Green RoaPO96x'98YMTdlsonNB9Instant) access all of our invoices 24 hours/day,365 days/year by Tel:812.2 99 Fix- 42. 3847250 going to www.envirolabsinc.com and clicking on Client Data Support. Billing InformationI`n'vo'iceNo : 20200854 Paula SchlemmerInvoice'Date01/25/201 Carmel-Clay Parks-Monon Community Center Samples Received: 01/19/2016 1411 E. 116th St. Order No.: 2016011001 CARMEL, IN 46032 PO No.: Project description: 'S3'°��'.+^�'y.p-�s.�re' F.. "v�°n"'/f'iT5'i �T`Ma"i'(° _ ySyz "✓wh+...'',T' "' +»rA".," .� .,,. sItem/Tpst N ame :. A Quan ! ' ...... Collection Fee Per Sample 2 $4.00 $8.00 Pool Analysis 2 $18.00 $36.00 C E° WE JAN 2 6 2016 BY: (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 1/12/16 20200778 Pool Water Testing MCC 1/12/16 38882 $ 44.00 1/19/16 20200854 Pool Water Testing MCC 1/19/16 38882 $ 44.00 Total $ 88.00 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$ $ 88.00 i ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#orINVOICE NO. CCT#/TITL AMOUNT ! Board Members Dept# 1094 20200778 4350900 $ 44.00 1 hereby certify that the attached irivoice(s), or 1094 20200854 4350900 $ 44.00 bill(s) is(are)true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received except I i I January 27, 2016 I Signature $ 88.00 Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund