258624 05/13/16 �/ CITY OF CARMEL, INDIANA VENDOR: 367946
v, h, ONE CIVIC SQUARE ELEMENT MATERIALS TECHNOLOGY LIJOiECK AMOUNT: $***"***302.50*
9ti CARMEL, INDIANA 46032 32599 COLLECTION CENTER DRIVE CHECK NUMBER: 258624
Me,—o;,-�. CHICAGO IL 60693-0325 .CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 EFW161363IN 25.70 OTHER EXPENSES
651 5023990 EFW161503IN 276.80 OTHER EXPENSES
VOUCHER # 165252 WARRANT # ALLOWED
351367 IN SUM OF $
ELEMENT MATERIALS TECHNOLOGY
32599 COLLECTION CENTER DRIVE
CHICAGO, IL 60693-0325
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
EFW16150311 01-7352-05 $276.80
.�35a•o5 o-5,"l0
01
3o'a
Voucher Total .amu
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
351367
ELEMENT MATERIALS TECHNOLOGY DALEVI Purchase Order No.
32599 COLLECTION CENTER DRIVE Terms
CHICAGO, IL 60693-0325 Due Date 5/3/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/3/2016 EFW1615031 $276.80
I 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
„ TementMaterials Technology Daleville,LLC
el men 32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice Date: April 29, 2016
TEL:(765)378-4141
Website:www.element.com Print Date: April 29, 2016
Invoice No: EFW1615031N
Client PO S15985
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Element Materials Technology Daleville,LLC
Teresa Lewis Accounts Receivable
9609 Hazel Dell Pkwy 32599 Collection Center Drive
Chicago,IL 60693-0325
Indianapolis,IN 46280-2935 TEL:(765)37811141
TEL:
WorkOrder Test Total Misc.Charge Total Discount Surcharge WorkOrder Total
16040484 $254.00 $5.00 0.1 0 $233.60
16040486 $48.00 $0.00 0.1 0 $43.20
Prepaid: $0.00 Please Pay this amount : $276.80
TERMS:
All invoices are due and payable net 30 days from receipt.
dement Materials Technology Daleville,LLC
element' 32599 Collection Center Drive INVOICE
materials technology Chicago,IL 60693-0325 Invoice#:EFW161363IN
TEL:(765)378-4141 Date: 4/29/2016
Website:www.element.com
REMIT TO: Element Materials Technology Daleville,LLC
Accounts Receivable
32599 Collection Center Drive Work Order: 16040155
Chicago,IL 60693-0325 Date Received: 4/4/2016
TEL:(765)378-4141 Priority: Routine
Phone:
INVOICE TO: ATTN: ACCOUNTS PAYABLE Acct.Code: 80142 Fax:
Carmel WWTP Project: Distilled Lab Grade Water
Teresa Lewis PO: 515991
9609 Hazel Dell Pkwy CaseNo:
Submitted By: Carmel WWTP
Indianapolis,IN 46280-2935 Tara Washington
Item Description Matrix Remarks Qty Unit Price %Disc. Net Price Total
AQPREP TOTAL METALS:ICPMS Water 1 10.00 10.00% 9.00 9.00
METALS in Water by ICP-MS,TOTALS Water PO#S15991 1 13.00 10.00% 11.70 11.70
Sub Total: $20.70
Miscellaneous Charge Summary Misc.Charges: $5.00
Item Unit Qty Total Surcharge: 0.00%
Sample Disposal $5.00 1 $5.00 INVOICE Total: $25.70
Pre-Paid Amount: $0.00
TERMS: Total Payable Amount: $25.70
All invoices are due and payable net 30 days from receipt.
Page 1 of 1
Original
entMaterials Technology Daleville,LLC Print Date: April 29, 2016
element' 32599 Collection Center Drive
materials technology Chicago,IL 60693-0325
TEL:(765)378-4141
Website:www.element.com
Carmel WWTP Invoice Number EFW161503IN
Teresa Lewis Invoice Date: April 29,2016
9609 Hazel Dell Pkwy Client ID: CARMEL WWTP
Indianapolis;IN 46280-2935 Terms: Net 30
TEL:
REMITTANCE SUMMARY
Order#: Customer Project Name Customer P.O. Total
16040484 Biosolids S15985 $233.60
16040486 Biosolids-Fecal S15985 $43.20
Invoice Total: $276.80
To insure proper credit to your account please return this portion with your payment.
Client ID Invoice Number Invoice Date Amount Due
CARMEL WWTP EFW1615031N 4/29/2016 $276.80
REMIT TO Element Materials Technology Daleville,LLC We accept credit cards!
Accounts Receivable Please contact Customer Service.
32599 Collection Center Drive
Chicago,IL 60693-0325
TEL:(765)3784141