258627 05/13/16 J! ;� CITY OF CARMEL, INDIANA VENDOR: 355990
® ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: 5"""'"`88.00'
s CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 258627
MADISON IN 47250 CHECK DATE: 05/13/16
t tON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20205392 44.00 OTHER CONT SERVICES
1094 4350900 20205749 44.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 88.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. PtCCT#/TITLE AMOUNT Board Members
Dept#
1094 20205392 4350900 $ 44.00 1 hereby certify that the attached invoice(s), or
1094 20205749 4350900 $ 44.00 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
May 5, 2016
Signature
$ 88.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
4/28/16 20205392 Pool Water Testing MCC 4/19/16 38882 $ 44.00
5/4/16 20205749 Pool Water Testing MCC 4/26/16 38882 $ 44.00
Total $ 88.00
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
Laboratory Invoice 20205392 hN .
Invoice ®ate: 04/28/2016
Z'
Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road PQ Box 968_Madison IN 47250
going to www.envirolabsinc.com and clicking on Client Data Support. — Tel:812.273.6699 Fax:892:273'5788 `' '"
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Billing Information �InvoicerNo :�ti�� ��2020.5.3.92
Paula Schlemmer Involce Date s ;` M;04128%201.6 ,
Carmel-Clay Parks-Monon Community Center Samples Received: 04/19/2016
1411 E. 116th St. Order No.: 2016041092
Indianapolis, IN 46280 PO No.:
Project description:
,, 52rTlf( St„ 1a)i16 y ,QUcrltty.,,,''fg y l lrtlt fid& il1e 1�Otal
Collection Fee Per Sample 2 $4.00 $8.00
Pool Analysis 2 $18.00 $36.00
(Fold and Cut Here) Invoice=Tota1 = F $44 CDU F�
Laboratory Invoice 20205749
Invoice Date: 05/04/2016 TX 11
1�...
Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road-P, Box 968,Madison,,IN 47250Tel:812.2�3.6699@'Fax:"812:273"5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No 20265749
57 .
Paula Schlemmer k,Invo116eAate: 05/9 12016
Carmel-Clay Parks-Monon Community Center Samples Received: 04/26/2016
1411 E. 116th St. Order No.: 2016050076
Indianapolis, IN 46280 PO No.:
Project description:
�'�A�i
m t mem
�� ' antl llnit COSIi P 3Ltrle,-rotai'
Collection Fee Per Sample 2 $4.00 $8.00
Pool Analysis 2 $18.00 $36.00
MAY - 4 2016
BY:
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