260156 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $....***231.00*
r. a� CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 260156
°a,�TeN MADISI N IN 47250 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20207449 210.00 OTHER EXPENSES
601 5023990 20207455 10.50 OTHER EXPENSES
601 5023990 20207456 10.50 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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 6/9/2016
MADISON, IN 47250
Invoice Invoice ' Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2016 20207455 $10.50
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
Laboratory Invoice 20207455 Environmental
2 Laboratones-9inc.
Invoice Date: 06/03/2016
635 Green Road,PO Box 968,Madison,IN 47250
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.: 20207455
]aimie Foreman Invoice Date: 06/03/2016
Carmel-Clay Water Samples Received: 05/26/2016
3450 W 131st Street Order No.: 2016051750
Indianapolis,IN 46280 PO No.:
Project description:
Item/Test Name QuantityUnit Cost Line Total
Total Coliform& E.Coli P/A 1 $14.00 $14.00
WIU
r`..+Wmr=N 1 04-),,T—. -I I fl\ Invnica Tntal• $10.50
Laboratory Invoice 20207456 Environmental
Laboratodes� inc.
Invoke Date: 06/03/2016
Instantly access all of our invoices 24 hours/day,365 days/year b 635 Green Road,PO Box x: Madison, 47250
Y I Tel:812.273.6699 Fax:812.273.577 88
going to www.envirolabsinc.com and clicking on Client Data Suppa
Billing Information Invoice No.: 20207456
Jaimie Foreman Invoice Date: 06/03/2016
Carmel-Gay Water Samples Received: 05/26/2016
3450 W 131st Street Order No.: 2016051751
Indianapolis,IN 46280 PO No.:
Project description:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform& E.Coli P/A 1 $14.00 $14.00
1Fniri anti r i it Haral 41 11 n Invoice Total: $10.60
Laboratory Invoice 20207449 EVronmenW
Laboratories� inc.
Invoice Date: 06/03/2016
635 Green Road,PO Box 968,Madison,IN 47250
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.: 20207449
]aimie Foreman Invoice Date: 06/03/2016
Carmel Utilities Samples Received: 05/23/2016
3450 W. 131st Street Order No.: 2016051493
Indianapolis,IN 46280 PO No.:
Project description:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform & E.Coli P/A 20 $14.00 $280.00
l
(Fold and Cut Here) �oI4' UI n Invoice Total: $210.00