303213 09/22/16 / CITY OF CARMEL, INDIANA VENDOR: 355990
�, ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $....****76.50*
° CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 303213
9M�*oN..�o` MADISON IN 47250 CHECK DATE: 09/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350900 20216233 10.50 OTHER CONT SERVICES
1094 4350900 20216351 66.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 76.50
ON ACCOUNT OF APPROPRIATION FOR
101 General/109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 20216233 4350900 $ 10.50 1 hereby certify that the attached invoice(s), or
1094 20216351 4350900 $ 66.00 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
September 14, 2016
Signature
$ 76.50 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
9/9/16 20216233 Water Testing Flowing Well 9/6/16 xx3233 $ 10.50
9/12/16 20216351. Pool Water Testing MCC 9/6/16 40382 $ 66.00
Total $ 76.60
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
120
Clerk-Treasurer
Laborato Invoice 20216233 - '�° � tjtr
ry .
Ct ' }rl�e
Invoice Date. 09/09/2016 4 z
635 Green Road, Q Box 968�Mad�son�IN 47250"
instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273.b699 Faz:812`2735788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Ivo�ce IVo, ^202f33
Ince r` , � x"`�09/09Z2016r,
Paula Schlemmer vo�� ViDate4R �W
Carmel-Clay Parks Department Samples Received: 09/06/2016
1411 E. 116th St. Order No.: 2016090293
Indianapolis,IN 46280 PO No.:
Project description: TC
I t Name Quantity w . Urllt Cost Line Total
Total Coliform&E.Coli P/A 1 $14.00 $14.00
SEP 12 2016
i
BY:
(Fold and Cut Here) Invoice Total:
1 6
Laboratory Invoice 202.16351 -w nvo=ent
Invoice Date: 09/12/2016 h_ .t
635 Green ;B,,PO Box 968:Qisdn,IN`47250"'7
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-Noi: 20216351
Paula Schlemmer Invoke Date: 09/12/2016
Carmel-Clay Parks-Monon Community Center Samples Received: 09/06/2016
1411 E. 116th St. Order No.: 2016090337
Indianapolis, IN 46280 PO No.:
Project description:
l tem/Test,N Quantity , , ;Unit Cost: Line Totol
Collection Fee Per Sample 3 $4.00 $12.00
Pool Analysis 3 $18.00 $54.00
SEP 1 3 2016
BY: -
(Fold and Cut Here) Invoice Total: -—$6-6.0-0—,/