HomeMy WebLinkAbout303359 09/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $"►r*"""285.00*
CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 303359
MADISON IN 47250 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20215949 75.00 OTHER EXPENSES
601 5023990 20216232 210.00 OTHER EXPENSES
VOUCHER# 162761 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
20216232 01-6350-03 210.00 "
ada159Lt04 4
Voucher Total
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 9/15/2016
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2016 20216232 210.00
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 20215949 E�vironmentai
Invoice Date: 09/08/2016 Laboratofiesq 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.: 20215949
Jaimie Foreman Invoice Date: 09/08/2016
Carmel-Clay Water Samples Received: 08/05/2016
3450 W 131st Street Order No.: 2016081730
Indianapolis, IN 46280 PO No.:
Project description: LEAD&COPPER
Item/Test Name Quantity Unit Cost Line Total
Copper&Lead 5 $20.00 $100.00
z ZC7
(Fold and Cut Here) , �' o Tt. V D 1 Invoice Total: $75.00
Laboratory Invoice 20216232 Eivironmental
Laboratories, inc.
Invoice Date: 09/09/2016
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.: 20216232
Jaimie Foreman Invoice Date: 09/09/2016
Carmel Utilities Samples Received: 09/06/2016
3450 W. 131st Street Order No.: 2016090292
Indianapolis, IN 46280 PO No.:
Project description: TC
Item/Test Name Quantity Unit Cost 1 ine Total
Total Coliform&E.Coli P/A 20 $14.00 $280.00
V.� �Zl�z �3s•3
(Fold and Cut Here) Invoice Total: $210.00