HomeMy WebLinkAbout260268 06/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 355130
ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES CHECK AMOUNT: $*******180.05*
CARMEL, INDIANA 46032 P 0 Box 8 CHECK NUMBER: 260268
BIRNAMWOOD WI 54414 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 373542 180.05 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
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI 54414 Due Date 6/13/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2016 373542 $180.05
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
North Central
ab®rat®ries LABS
I" -7R FED ID:39-1538387 Lab Supplies since 1985
1-800-648-7836
54
www.nclabs.com
I�wv'
Email:nclabs@nclabs.com INVOICE NO. 373542
S INVOICE DATE
O CITY OF CARMEL
L
9609 HAZEL DELL PARKWAY YOUR ACCOUNT NO.
D 7804
INDIANAPOLIS, IN 46280 YOUR ORDER NO.
T S16135
SHIPPED VIA
O
FedEx 05/27/2016
SHIPPVA%L WASTEWATER TRT PLANT, 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280
QUANTITY DESCRIPTION
1 500 g N-50, Nitrification Inhibitor 166.40 166.40
Delivery Charges 13.65
SUB-TOTAL 180.05
WI Sales Tax-Exempt .00
TOTAL 180.05
Thank you for your order! !
PLEASE PAY FROM THIS INVOICE WITHIN 30 DAYS
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood,WI 54414
PACKING SLIP NO.
North Central'Laboratories 482521
- -.
DATE SHIPPED:
Lab Sccppliee.viizee 1985" 05/27/2016.
LABS' ACCOUNTNO.
1.800.648.7836 7304
Fax: (715)449.2454
FED ID:39-1538387 ATTENTION:
www.nclabs.com DaVe Dye
Email:nclabs@nclabs.com
CUSTOMERS 1613 5
SHIPPED VP
CITY OF CAK+IEL c l YitL bYN3 I CbVH t ! ('Llil
S �7
® 9609. HAZEL DELL PARKWAY H 9609 HAZEL DELL PARKWAY
D P
-� INDIANAPOLIS, IN 46280 T INDIANAPOLIS,. IN 46280
O _.
QUANTITY
SHIPPED UNIT CATALOG NUMBER DESCRIPTION AMOUNT.
\/1. 00 CI N-50 Nitrification Inhibitor
DOT: Not Regulated.
Order Complete
Dave, Thank you for your order,!
kc/kc.,
For your convenience, Safety Data Sheets (SDS' s) and
Certificates of Analysis (COA' s) are, available at umum.nclabs,co
Hard .copies ire available for a nominal fee of 20c per page
p 0
Your Order Packed.with Pride by:
I. Thank You? We Appreciate Your Business?