HomeMy WebLinkAbout257753 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 358403
.,; ® z,• ONE CIVIC SQUARE CHARDON LABORATORIES INC
CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 257753
M,Ir6ii�. 7300 TUSSING ROAD CHECK DATE: 04/26/16
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 20143173 250.00 BUILDING REPAIRS & MA
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.
358403 Chardon Laboratories, Inc. Terms
7300 Tussing Road
Reynoldsburg, OH 43068
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/16/16 10143173 Quarterly Service for Boiler Filter Units 39473 $ 250.00
Total—r$ 250.00
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.
358403 Chardon Laboratories, Inc. Allowed 20
7300 Tussing Road
Reynoldsburg, OH 43068
In Sum of$
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 10143173 4350100 $ 250.00 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
April 20, 2016
i
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CHARDON LABORATORIES
Corporate Service&Research Center �� � n voice No— `'' 10143173
7300 Tussing Road
Reynoldsburg,Ohio 43068 APR 2016
gG` 1.800.848.9526
Fax: 614.759.2558 �Y'
Web:www.chardonlabs.com
• .TO: TO:
DAWN KOEPPER A/P MICHAEL KILPATRICK
CARMEL CLAY PARKS&RECREATION MCC-WEST
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CARMEL, IN 46032
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed _
information on these schedules,please see you Master Service Agreement.
cusm
MERRO�NO. TERMS SALES PERSON CUSTOMER
INVOICE DATE
orfs -- ,ki
i. 38034 NET 30 MARK HEIRBRANDT 209473 `4/162064'
ITEM • DESCRIPTION UNIT PRICE CITY EXTENDED PRICE
ZSERVICE Loop Service 250.00 1.00 250.00
T` TO CHP,I2DON LA130RATORIESL y INC
xq yi Sales Total 250.00
CCOUNTS RECErIVASLE ,
730 �U SIrLG$ROAD 'Sa Trade Discount 0.00
iREYNOLDSBURG; lOHIO 430x68 Shipping&Handling 0.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 250.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
11011 CIA L •:,250:00X1"::