HomeMy WebLinkAbout256902 03/31/16 +�r�t,Ab
�/ �f. CITY OF CARMEL, INDIANA VENDOR: 00351811
�• ;• ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOCIATU9CK AMOUNT: $"""""""525.89•
�;� CARMEL, INDIANA 46032 DEPT CH19753 CHECK NUMBER: 256902
�'��*oN�°, PALATINE IL 60055-9753 CHECK DATE: 03/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 782691 525.89 OTHER EXPENSES
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
351811
ENVIRONMENTAL RESOURCE ASSOCIA Purchase Order No.
DEPT. CH 19753 Terms
PALATINE, IL 60055-9753 Due Date 3/28/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/28/2016 782691 $525.89
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 # 165026 WARRANT# } ALLOWED
351811 IN SUM OF $
ENVIRONMENTAL RESOURCE ASSOC .
DEPT. CH 19753
PALATINE, IL 60055-9753
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR f
Board members
PO# INV# ACCT## AMOUNT Audit Trail Code
782691 01-7352-05 $525.89
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a
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Voucher Total $525.89
Cost distribution ledger classification if
claim paid under vehicle highway fund
Invoice: „' , 782691
FAR A Account; ;', ,4„ , C397201
A Waters Company Date; : 3/18/2016
..
Federal Tax ID: 36-2912479
Bill To: Ship To:
Carmel Utilities Carmel Utilities
Accounts Payable 9609 Hazel Dell Parkway
9609 Hazel Dell Parkway Indianapolis, IN 46280
Indianapolis, IN 46280 USA
USA
Payment Terms Shipping Method Purchase'Order No.• Order No.
NET 30 FEDEX ECON S15531 1-5U3SRN032116FE
Cat# Item Description Lot/Project Quantity Unit Price Ext.Price
576 • WasteWatRTm Coliform MicrobETM Q036-083 1.00 $122.00 $122.00
579 Complex Nutrients Q036-525 1.00 $63.00 $63.00
584 Simple Nutrients Q036-505 1.00 $71.00 $71.00
6160 DMR-QA Mini-Set#6 Q036-6160 1.00 $225.00 $225.00
Remit To: For ACH/EFT: Subtotal:;;`' $481.00
Environmental Resource Associates Environmental Resource Associates Payment•: ,`,' $0.00
Dept CH 19753 HSBC Bank USA, NA Hardli;n $10.00
Palatine, IL 60055-9753 452 5th Avenue New York, NY 10008 g`s'
Phone: 800-372-0122/303-431-8454 Account#: 000-16397-0 Tax,:,'--;`,:=;., $0.00
Fax: 303-421-0159 ABA M 021001088
www.eragc.com Swift: MRMDUS33 Currency: USD Freight; ';',. :` $34.89
Discount: $0.00
Amount Due: $525.89
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