HomeMy WebLinkAbout253863 01/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: S""•"'232.50'
PO BOX 968 CHECK NUMBER: 253863
CARMEL, INDIANA 46032 MADISON IN 47250 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
6.01 5023990 20199843 12.00 OTHER EXPENSES
1125 4350900 20200310 10.50 OTHER CONT SERVICES
601 5023990 20200311 210.00 OTHER EXPENSES
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Laboratory Invoi
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Invoice Date: 01/13/2016 aQ1 ,` 1 0?
Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Ro d POEBoxw968 Madison IN�47254
going to www.envirolabsinc.com and clicking on Client Data Support. Tel:812.273.6699"`Fax.812.273.5788
Billing Information Inv`d�ce�No.° � l+'2Q200314
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Carmel-Clay Parks Department Samples Received: 01/05/2016
1411 E. 116th St. Order No.: 2016010378
Carmel, IN 46302 PO No.:
Project description:
+. Itiem/TestName .a- Quant4 WMity Unit Cost' x Line Total
Total Coliform&E.Coli P/A 1 $14.00 $14.00
JAN 14 2016
_Y:
(Fold and Cut Here) Invoice Tot50-0
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
1/13/16 20200310 Water testing Flowing Well 1/5/16 xx3233 $ 10.50
Total $ 10.50
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
4
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 10.50
ON ACCOUNT OF APPROPRIATION FOR
i
101 General Fund
PO#orINVOICE NO. CCT#/TITL AMOUNT ( Board Members
Dept#
1125 20200310 4350900 $ 10.50 j 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
i
January 19, 2016
Signature
$ 10.50 ; Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
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 1/21/2016
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/21/2016 20200311 $210.00
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
VOUCHER# 154104 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
t.
,.
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
20200311 01-6350-03 $210.00
ti
Voucher Total ant>
Cost distribution ledger classification if
claim paid under vehicle highway fund
Laboratory Invoice 20199843- Ei.mou Met
tal
Invoice Date: 01/08/2016 Ldbof'atofies. Vic•
Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road,PO Box 968,Madison,IN 47250Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20199843
Jaimie Foreman Invoice Date: 01/08/2016
Carmel Utilities. Samples Received: 12/29/2015
3450 W. 131st Street Order No.: 2015121667
Carmel, IN 46074 PO No.:
Project description: FLUORIDE
Item/Test Name Quantity Unit Cost Line Total
Fluoride,Adjusted 1 $15.00 $12.00
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Laboratory Invoice il-vir
Invoice Date: 01/13/2016 Laborat.on sine,
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.: 20200311.
Jaimie Foreman Invoice Date: 01/13/2016
Carmel Utilities Samples Received: 01/11/2016
3450 W. 131st Street Order No.: 2016010379 -
Carmel;IN 46074 PO No.:
Project description:
Item/Test Name " Quantity Unit Cost Line Total
Total Coliform&E.Coli P/A 20 $14.00 $280.00 .
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