HomeMy WebLinkAbout258546 05/10/16 ��"�. CITY OF CARMEL, INDIANA VENDOR: 00353237
s �l ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: $.....•*115.50*
s, �: CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 258546
9M�lip'ry��` DALLAS TX 75320-4290 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24180370 115.50 OTHER EXPENSES
VOUCHER # 165259 WARRANT# ALLOWED
00353237 IN SUM OF $
TESTAMERICA INC
PO BOX 99742
Chicago, IL 60690
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
24180370 01-7352-05 $115.50
Voucher Total $115.50
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
00353237
TESTAMERICA INC Purchase Order No.
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 5/3/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/3/2016 24180370 $115.50
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
Date Officer
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24180370 Invoice Date April 29,2016
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 30 West Main Street
30 West Main Street Suite 220
Suite 220 Carmel,IN 46032
Carmel,IN 46032
P.O.Number W.O.Number Contract Number Work Ordered b
HORTON Teresa Lewis
(248)625-7711
Job Description Site Name SDG Number Invoice Contact
See below Lisa Kem a
Job No. Job Description r Receipt Date Quantity Unit Price Amount
Method/Test Description
J63843-1 Horton Inc. 04/22/2016
335.4-Cyanide,Total 1.00 30.00 30.00
200.7 Rev 4.4-Total Recoverable Cadmium 1.00 .12.00 12.00
200.7 Rev 4.4-Total Recoverable Chromium 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Copper 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Lead 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Nickel 1.00 12.00 12.00-
200.7 Rev 4.4-Total Recoverable Silver 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Zinc 1.00 12.00 12.00
Safe and Environmentally Responsible Waste Management 1.00 1.50 1.50
(per sample)
Project Number Client Number Project Manager Subtotal $115.50
-24009460 1406871 Amy McCormick
Latest Sample Receipt.Date Latest Report Date Phone Number Total $115..50
04/22/2016 04/29/2016 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.