HomeMy WebLinkAbout257863 04/26/16 ! CITY OF CARMEL, INDIANA VENDOR: 361475
® ? CHECK AMOUNT: S"""""125.00"
•, ONE CIVIC SQUARE DAILY LABORATORIES
CARMEL, INDIANA 46032 2200 W ALTORFER SUITE 8 CHECK NUMBER: 257863
9M�rtiel�°S PEORIA IL 61615 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 7291 125.00 OTHER EXPENSES
VOUCHER # 165118 WARRANT # ALLOWED
361475 IN SUM OF $
DAILY LABORATORIES
2200 W. ALTORFER DR.
SUITE B
PEORIA, IL 61615
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7291 01-7352-05 $125.00
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Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
361475
DAILY LABORATORIES Purchase Order No.
2200 W. ALTORFER DR. Terms
SUITE B Due Date 4/12/2016
PEORIA, IL 61615
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/12/2016 7291 $125.00
hereby certify that the attached invoice(s), or bill(s) is(are)true and
,orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Daily Laboratories 0•o. Invoice
Division of Mobilab,Inc.
2200 W.Altorfer Dr. Suite B ••i�®
Peoria, IL 61615
(309)691-4513 Number: 7291
Date: 3131/2016
Bill To: Ship To:
Tara Washington
City of Carmel WWTP
9609 Hazel Dell Pkwy
Indianapolis,IN,46280
P.O.Number Terms Details Project
S15955 130 days Idistilled 03/24/16
Date Quantity Description Price Ea Amount
03/28 1 Suitability test on distilled water $125.00 $125.00
Thank you for your business. 1p'2 7.00
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