258265 05/06/16 01"
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $rr««r•r`65.00"
CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 258265
MADISON IN 47250 CHECK DATE: 05/06/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350900 20204933 10.50 OTHER CONT SERVICES
1125 4350900 20204936 10.50 OTHER CONT SERVICES
1094 4350900 20205170 44.00 OTHER CONT SERVICES
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.
355990 Environmental Laboratories, Inc. Terms
P.O. Box 968
Madison, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/22/16 20204933 Water Testing Flowing Well 4/13/16 xx3233 $ 10.50
4/22/16 20204936 Water Testing Flowing Well 4/14/16 xx3233 $ 10.50
4/26/16 20205170 Pool Water Testing MCC 4/12/16 38882 $ 44.00
Total Is 65.00
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 65.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund /109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 20204933 4350900 $ 10.50 1 hereby certify that the attached invoice(s), or
1125 20204936 4350900 $ 10.50 bill(s) is (are)true and correct and that the
1094 20205170 4350900 $ 44.00 materials or services itemized thereon for
which charge is made were ordered and
received except
April 27, 2016
Signature
$ 65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
Laboratory Invoice 20204933 E*h
Invoice Date: 04/22/2016 71,111, 1101;f�_,
'
Y '
635 Green RoPQ Bok'�968"Madison INd47250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273 6699 `Faz'."812127.3 788''-=�
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: �<<;2020�4933
Paula Schlemmer Invoice Date: 4/22/2016
Carmel-Clay Parks Department Samples Received: 04/13/2016
1411 E. 116th St. Order No.: 2016040779
Indianapolis, IN 46280 PO No.:
Project description: TC
Total Coliform &E,Coli P/A 1 $14.00 $14.00-
"EIVED
APR 25 2016
BY:
(Fold and Cut Here) Invoice Total:
Labdratory Invoice 20204936
Invoice Date: 04/22/2016 ' :i ,� _ C�
h?,_
635 Green Road+l50 Box 968 Madisonk IN 47
instantly access all of your invoices 24 hours/day,365 days/year by Tel:812273:6699` 176i:812213:57881-10'{ ` 1
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information InVoice=No 2020.4.9.36
Invoke+Date 'r
Paula Schlemmer
;04/22/2016
; ,.
Carmel-Clay Parks Department Samples Received: 04/14/2016
1411 E. 116th St. Order No.: 2016040782
Indianapolis, IN 46280 PO No.:
Project description: TC
�k„""< Itemjt'est Name , � QuantJfy >�;.,. ` Unit Cost;3 � Un otat
N
Total Coliform.&E.Coli P/A —1 $14.00 $14.00
IV
APR 25 2016 1
I
BY: i
(Fold and Cut Here) Invoice Total: t} '$„10,50`4
f � ,
Laboratory Invoice 20205170
1
Invoice Date: 04/26/2016Q = s " 1C.f�
635 Green Road,P01113ox>968„Madtson�lt47_250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information ?Invoice-No:'-202 05170
Paula Schlemmer MvoiCWMate: _0472fi/201:6':
Carmel-Clay Parks-Monon Community Center Samples Received: 04/12/2016
1411 E. 116th St. Order No.: 2016040 67
Indianapolis, IN 46280 PO No.: RECEIVED
Project description: APP 2 7 2016
k3Y.
Collection Fee Per Sample - - _ 2 $4.00 -$8.00
Pool Analysis 2 $18.00 $36.00
(Fold and Cut Here) �Inv6 rwfotal '� 5 ? $4400 .-