260034 06/28/16 .4�g4fi CITY OF CARMEL, INDIANA VENDOR: 355990
® ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $*******176.00*
CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 260034
9gjQTpN�G�` MADISON IN 47250 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20208699 176.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 176.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1094 20208699 4350900 $ 176.00 1 hereby certify that the attached invoice(s), or
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
June 21, 2016
Signature
$ 176.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
f
Laboratory Invoice 20208699 � ` `� r
tai
Invoice ®ate: 06/16/2016 gb i `;fit# i
635 Green Roads PO Box 968 MadlsorirlN 47250 T
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812473:6699 rFax:812.273:5788 5 .:.
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Billing Information fnvollceM z ,+ X20208699
Paula Schlemmer In�o�ce Date '' 3 �H ,x;06/16/20 f6ti �
,fr✓At�xA�
Carmel-Clay Parks-Monon Community Center Samples Received: 06/07/2016
1411 E. 116th St. Order No.: 2016061069
Indianapolis, IN 46280 PO No.:
Project description:
737777777=77�' '77,77
�'Zte1T1P, Ndme Qu7ntlty„ �_ j77 M�MBTM
' �1CI TOta�
Collection Fee Per Sample 8 $4.00 $32.00
Pool Analysis 8 $18.00 $144.00
FEC EI�T ;ti..
JUIN 17 2016
BY:
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