302892 09/12/16 CITY OF CARMEL, INDIANA VENDOR: 355990
G ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: S*******456.00*
i ?q CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 302892
�M«uN MADISON IN 47250 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20214951 210.00 OTHER EXPENSES
601 5023990 20215160 15.00 OTHER EXPENSES
601 5023990 20215174 210.00 OTHER EXPENSES
601 5023990 20215175 21.00 OTHER EXPENSES
VOUCHER# 162558 WARRANT# ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, IK
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
20215160 01-6350-03 t1155.0''0- �%51-N K , 010-OD
ZbQ1,45t-75 at Do
;Zop LN q
Voucher Total 456,00
Cost distribution ledger classification if
claim paid under vehicle highway fund
I ,. 1,( A A---
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 9/1/2016
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2016 20215160 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
Laboratory Invoice 20215160 En ironmental
Involve Date: 08/29/2016 aboratorles, inc.
/
Instant) access all of your invoices 24 hours/day,365 da s/year b 635 Green Road,PO Box ax: Madison,7 47250
Y Y Y Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20215160
Jaimie Foreman Invoice Date: 08/29/2016
Carmel Utilities Samples Received: 08/23/2016
3450 W. 131st Street Order No.: 2016080856
Indianapolis, IN 46280 PO No.:
Project description: ECOLI
Item/Test Name Quantity Unit Cost Line Total
LT2 Ecoli, MPN 1 $20.00 $20.00
'TbS
'"'5
(Fold and Cut Here) Invoice Total: $15.00
Laboratory Invoice 20215174 Environmental
Invoice Date: 08/29/2016 Laboratories, 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 Invoice No.: 20215174
Jaimie Foreman Invoice Date: 08/29/2016
Carmel Utilities Samples Received: 08/23/2016
3450 W. 131st Street Order No.: 2016082411
Indianapolis, IN 46280 PO No.:
Project description: TC
Item/Test Name Quantity Unit Cost Line Total
Total Coliform& E.Coli P/A 20 $14.00 $280.00
4,z t?J" 2
(Fold and Cut Here) { 11k Invoice Total: $210.00
Laboratory Invoice 20215175 Date: 2016 Eliv, .ironmental
Invoice a / /08 29 Laboratories, 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.enviralabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20215175
Jaimie Foreman Invoice Date: 08/29/2016
Carmel-Clay Water Samples Received: 08/22/2016
3450 W 131st Street Order No.: 2016082428
iaRapelis-, IN 46280 PO No.:
(1nr1 ��avi Project description: TC
Item/Test Name Quantity Unit Cost Line Total
Total Coliform&E.Coli P/A 2 $14.00 $28.00
(Fold and Cut Here) �l t D Invoice Total: $21.00
Laboratory Invoice 20214951# nvironmental
Laboratories, inc.
Involve Date: 08/25/2016
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 Invoice No.: 20214951
]aimie Foreman Invoice Date: 08/25/2016
Carmel Utilities Samples Received: 08/18/2016
3450 W. 131st Street Order No.: 2016080838
Indianapolis, IN 46280 PO No.:
Project description: TC
Item/Test Name Quantity Unit Cost Line Total
Total Coliform& E.Coli P/A 20 $14.00 $280.00
�010sl'-*ANU
zl�z 5'
(Fold and Cut Here)( l �('� I k, Nh� Invoice Total: $210.00