301232 07/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 301232
7300 TUSSING ROAD CHECK DATE: 07/28/16
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 20147827 250.00 BUILDING REPAIRS & MA
Voucher No. Warrant No.
358403 Chardon Laboratories, Inc. Allowed 20
7300 Tussing Road
Reynoldsburg, OH 43068
In Sum of$
$ 250.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 10147827 4350100 $ 250.00 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
July 20, 2016
1pkmvh��
Signature
$ 250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
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G ARGON LABORATORIES ��e
J�✓� `ATE Invoic�e�No. "� 101478275,'
Corporate Service&Research Center s —
7300 Tussing Road
Reynoldsburg,Ohio 43068 J U L 1'8 2 016
1.800.848.9526
Fax: 614.759.2558 BY:
Web:www.chardonlabs.com
SOLD • TO:
DAWN KOEPPER A/P MICHAEL KILPATRICK
CARMEL CLAY PARKS&RECREATION MCC-WEST
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE EAST
CARMEL, IN 46032 CARMEL, IN 46032
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed
information on these schedules,please see you Master Service Agreement.
- ---- -w-6;�- -— -- --- - -- - - ------- -- - -
CUSTOMER P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE
38034 NET 30 MARK HEIRBRANDT 209473 0-t-7/116/2016
,
ITEM • I DESCRIPTION UNIT PRICE QTY EXTENDED PRICE Loop Service 250.00 1.00 250.00
REbfIsPTOY: 'CHARDOI3 ,I:A�ORATORIES; INCA -
ACCOUNTS-RECEIVABLE
-' Sales Total 250.00
/73
-0;._T-,USSMNG ROAWF� Y Trade Discount 0.00
REYNOLDSBURG,m OIi�I0;43068 < Shipping&Handling 0.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 250.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
� G"""'250.00