301670 08/08/16 %,�aNyfi CITY OF CARMEL, INDIANA VENDOR: 355890
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $
:• _� CARMEL, INDIANA 46032 PO Bbx 968 CHECK NUMBER: 301670
MADISON IN 47250 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER BER AMOUNT DESCRIPTION
601 5023990 20211337 15.00 OTHER EXPENSES
VOUCHER # 162208 WARRANT# ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD.
P.O. BOX 968
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# , INV# ACCT# AMOUNT Audit Trail Code
20211337 01-6350-03 f600
Voucher Total 15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 7/30/2016
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2016 20211337 15.00
I 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
1 • ,
Laboratory Invoice 20211337 nv.ronmental
Invoice Date: 07/19/2016 ELaboratofies� inc
Instantly access all of our invoices 24 hours/day,365 days/year b� 635 Green Road,PO Box Madison, 47250
y Tel:812.273.6699 Faax:x:812.273.577 88
going to www.envirolabsinc.com and clicking on Client Data Suppoit.
Billing Information Invoice No.: 20211337
Jaimie Foreman Invoice Date: 07/19/2016
Carmel Utilities Samples Received: 07/13/2016
3450 W. 131st Street Order No.: 2016071041
Indianapolis, IN 46280 PO No.:
Project description: E.COLI
Item/Test Name Quantity Unit Cost Line Total
LT2 Ecoli, MPN 1 $20.00 $20.00
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IM #Z1 2 ,
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Cut Here _ Invoice Total: $15.00