HomeMy WebLinkAbout258047 04/26/16 ® CITY OF CARMEL, INDIANA VENDOR: 00353237
l ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: S'*'««"'105.50*
?� CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 258047
DALLASTX 75320-4290 CHECK DATE: 04/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24179360 105.50 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
00353237
TESTAMERICA INC Purchase Order No.
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 4/11/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/11/2016 24179360 $105.50
1 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
i
VOUCHER # 165073 WARRANT# ! ALLOWED
IN SUM OF $
00353237
TESTAMERICA INC i
PO BOX 99742
Chicago, IL 60690
I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT* AMOUNT Audit Trail Code
24179360 01-7352-05 $105.50
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Voucher Total $105.50
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Cost distribution ledger classification if
claim paid under vehicle highway fund '
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TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24179360 Invoice Date March 31,2016
Terms See Below Federal Tax ID 23-2919996
Remit to TestAmerica Laboratories Inc.PO BOX 204290 Dallas TX 75320-4290
Bill to: Ship to:
Carmel WWTP Carmel WWTP
Attn:Accounts Payable 9609 Hazel Dell Pkwy
9609 Hazel Dell Pkwy Indianapolis,IN 46280
Indianapolis,IN 46280
P.O.Number - W.O.Number Contract Number or Ordered b
515969 Tara Washington
Job Description Site Name SDG Number Invoice Contact
See below Tara Washington
Job No. Job Description Receipt Date Quantity Unit Price Amount
Method/Test Description
J62556-1 Carmel 03/23/2016
200.8-Total Recoverable Cd,Cr,Cu,Ni,Pb,Zn 1.00 104.00 104.00
Safe and Environmentally Responsible Waste Management 1.00 1.50 1.50
(per sample)
Project Number Client Number Project Manager Subtotal $105.50
24009460 1445697 Amy McCormick
Latest Sample Receipt Date Latest Report Date Phone Number Total $105.50
03/23/2016 03/31/2016 330 966-9787
For proper credit,please include invoice number on all remittance.
TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720
This invoice falls under TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in Page 1 of 1
place at the time these services were rendered.