HomeMy WebLinkAbout301502 08/04/16 (9,
CITY OF CARMEL, INDI NA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $*******132.00*
CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 301502
MADISON IN 47250 CHECK DATE: 08/04/16
DEPARTMENT ACCOUNTI PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20211979 132.00 OTHER CONT SERVICES
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Voucher No. Warrant No.
355990 Environmental L I boratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
,In Sum of$
$ 132.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon(Center
PO#or I Board Members
Dept# INVOICE NO. C i T#/TITL AMOUNT
1094 20211979 4;350900 $ 132.00 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
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July 27, 2016
1P kk&W-h�
Signature
$ 132.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
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claim paid motor vehicle highway fund
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
355990 Environmental Laboratories, Inc. Terms
P.O. Box 968
Madison, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/22/16 20211979 Pool Water Testing MCC 7/12/16 38882 $ 132.00
Total $ 132.00
1 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
20—
Clerk-Treasurer
Laboratory Invoice 20211979E ,
ront4
Invoice ®ate: 07/22/2016 i ?'O ' 1 ,5L
635 Green Road PO Box-968 Madison IN 47250
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Billing Information , Invoke
Paula Schlemmer Tnvorce Date `07/2272016-
Carmel-Clay Parks-Monon Community Center Samples Received: 07/12/2016 CEIVED
1411 E. 116th St. ! Order No.: 2016071422
Indianapolis, IN 46280 PO No.: JUL 2 5 2016
Project description:
BY:
Item/Test Name Quantity Unik Cost' il.ineTotal
Collection Fee Per Sample 6 $4.00 $24.00
Pool Analysis 6 $18.00 $108.00
(Fold and Cut Here) Inv4 ices*81VI $13200