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HomeMy WebLinkAbout257847 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 358403 ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,750.00* CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 257847 7300 TUSSING ROAD CHECK DATE: 04/26/16 REYNOLDSBURG OH 43068 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 20143670 1,750.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. CHARDON LABORATORIES INC ALLOWED 20 ACCTS RECEIVABLE IN SUM OF $ 7300 TUSSING ROAD REYNOLDSBURG, OH 43068 $1,750.00 ON ACCOUNT OF APPROPRIATION FOR Building Operations PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 10143670 I 43-509.00 I $1,750.00 1 hereby certify that the attached invoice(s), or 1208 101 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 Monday, April 25, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund 2'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL \n invoice or bill to be properly itemized must show:kind of service,where performed, dates service rendered,by vhom, rates per day,number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order Na. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/16/16 10143670 $1,750.00 1208 101 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance vith IC 5-11-10-1.6 20 Clerk-Treasurer spa 1� Al CHARDON LABORATORIES Corporate Service&Research Center Invoice No. 10143670 ;z 7300 Tussing Road Reynoldgbarg,Ohio 43068 1.800.848.9526 Fax: 614.759.2558 Web:www.chardonlabs.com • . TO: ACCOUNTS PAYABLE JOHN DUFFY CITY OF CARMEL- DEPT OF ADMIN CARMEL ENERGY CENTER ONE CIVIC SQUARE 777 THIRD AVENUE SW 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. CUSTOMER-P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE NET 30 MARK HEIRBRANDT 297709 4/16/2016 ITEM • DESCRIPTIOQTY . • ZSERVICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00 J ` Submitted To APR 2016 Clerk s 18anirer REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 1,750.00 7300 TUSSING ROAD Trade Discount 0.00 REYNOLDSBURG, OHIO 43068 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 1,750.00 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 • 1,750.00