302449 08/31/16 Cqq'-
iu CITY OF CARMEL, INDIANA VENDOR: 355990
it ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $....***176.00'
s CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 302449
MADISON IN 47250 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20214766 176.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 176.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 20214766 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
August 25, 2016
Signature
$ 176.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
8/24/16 20214766 Pool Water Testing MCC 8/16/16 40382 $ 176.00
J
Total 176.00
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 20214766 nwironmental
Laboratories,
Invoice ®ate: 08/24/2016 inc.,
635 Green Road,PO Box 968,Madison,IN 47250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Lvoice=No.: 20214766:
Paula Schlemmer Invoice Date 0'8/24/20:16
Carmel-Clay Parks-Monon Community Center Samples Received: 08/16/2016
1411 E. 116th St. Order No.: 2016080611
Indianapolis, IN 46280 PO No.:
Project description:
Collection Fee Per Sample 8 $4.00 $32.00
Pool Analysis 8 $18.00 $144.00
P-ECE I EED
AUG 2 5 2016
BY:
(Fold and Cut Here) —�_ _ _ _— _ —_- - - ^ — �I vn oice cot!l ,,,� -ri$176_00,