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Home My WebLink About258113 04/29/16 CITY OF CARMEL, INDIANA VENDOR: 358403 CHECK AMOUNT: S"""`440.00` • ® ONE CIVIC SQUARE CHARDON LABORATORIES INC 4C CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 258113 7300 TOSSING ROAD CHECK_DATE: 04/29/16 REYNOLDSBURG OH 43068 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 I0141460 190.00 OTHER EXPENSES 651 5023990 I0143162 250.00 OTHER EXPENSES VOUCHER # 165158 WARRANT # ALLOWED 358403 IN SUM OF $ CHARDON LABORATORIES INC 7300 TUSSING ROAD REYNOLDSBURG, OH 43068 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 10143162 01-7362-06 $250.00 'T-0`q 1160 01--7�;b, Voucher Total �6 Cost distribution ledger classification if claim paid under vehicle highway fund 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 358403 CHARDON LABORATORIES INC Purchase Order No. 7300 TOSSING ROAD Terms REYNOLDSBURG, OH 43068 Due Date 4/20/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/20/2016 10143162 $250.00 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 1/�L L/ice Date Officer Officer CI VIUMN LABORATORIES Corporate Service&Research Center Invoice No. 10143162 7300 Tussing Road Reynoldsburg,Ohio 43068 1.800.848.9526 Fax: 614.759.2558 Web: www.chardonlabs.com • . TO: TO: PAUL ARNONE JEFF COOPER CARMEL WASTE WATER TREATMENT CARMEL W W T P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 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 • NO. TERMS SALESPERSON • • INVOICE NET 30 MARK HEIRBRANDT 209396 4/16/2016 ITEM • DESCRIPTION UNIT PRICE CITY EXTENDEDPRICE ZSERVICE Loop Service 250.00 1.00 250.00 REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 250.00 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 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 • 250.00 101 1 Eli C14ARDON LABORATORIES 6 Corporate Service&Research Center Invoice No. 10141460 7300 Tussing Road Order No. 00051604 Reynoldsburg,Ohio 43068 1.800.848.9526 Fax: 614.759.2558 Web: www.chardonlabs.com • . TO: PAULARNONE JEFF COOPER CARMEL WASTE WATER TREATMENT CARMEL W W T P 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 To include-the-applicable chemicals&service-outlined inSchedt_tle-12 for Cooling Towers,Schedule 13 for-Steam Boilers-and/or Schedule 14_for_Closed_Systems._Eor detailed information on these schedules,please see you Master Service Agreement. CUSTOMER • NO. TERMS SALES PERSON • • INVOICE NET 30 MARK HEIRBRANDT 209396 2/29/2016 ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE FILTEACH FILTER BAG (ONE ONLY)FOR FTF 15.00 12.00 180.00 REMIT TO: CHARDON LABORATORIES, INC. 180.00 Sales Total ACCOUNTS RECEIVABLE Trade Discount 0.00 7300 TUSSING ROAD Shipping&Handling 10.00 REYNOLDSBURG, OHIO 43068 Misc.Charges 0.00 We hereby certify that goods used in conjunction with these services were produced in compliance with all Tax Total 0.00 applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and 190.00 orders of the United States Department of Labor issued under Section 14,thereof. Less Paid Amount 0.00 Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. • 190.00