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HomeMy WebLinkAbout303815 10/06/16 ��.�,qr, CITY OF CARMEL, INDIANA VENDOR: 355031 y f, it ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH%tIRQK AMOUNT: $*******282.00* s, ?Q CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 303815 '$,,ETON�.` CHICAGO IL 60677.7001 CHECK DATE: 10/06/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 466701 282.00 MEDICAL FEES Voucher No. Warrant No. ______ 855031 Community Occupational Health Services /Ukowaai 20____ 71G8Solution Center Chicago, IL 60677-7001 ONACCOUNT OFAPPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#1TITLE AMOUNT Board Members Dept# luul-oy 466701 4340700 $ 282.00 | hereby certify that the aftochedinvnim(s). or biU(s)io (are)true and correct and that the materials orservices itemized thereon for which charge iomade were ordered and received except September Signature Accounts Payable Crdi oto 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. 355031 Community Occupational Health Services Terms 7169 Solution Center Chicago, IL 60677-7001 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/16/16 466701 Pre-Employment Drug Testing $ 282.00 Total Is 282.00 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 5-11-10-1.6 120 Clerk-Treasurer Co untfy0ecupYa iona�<Fi, Ith�Sys 7169 Solutiorn� Cente�Y�`�"� CI%e{ago'�:IL�60677 7001 DECEIVED Phones-.�3�1.7:621-.034.•1;��,,� FEIN: 35-1955223 SEP 22 2016 BY: Invoice iOdt-m be Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 09/16 1411 E. 116th St. Cannel, IN 46032- In�oige#st 4`,6.101 j f Proc Code Date Description Qty Charge ReceiptAdjust Balance 746404 09/01/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Emily C Carr Balance Due: 47.00 746404 09/08/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Mikayla M Hazelwood Balance Due: 47.00 746404 _ 09/07/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Alexis Higgins Balance Due: 47.00 746404 09/15/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Dymond F Johnston Balance Due: 47.00 746404 09/07/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Mariah N Schaefer Balance Due: 47.00 746404 09/15/2016 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Kayla Williams Balance Due: 47.00 Invoice# 466701 Balance Due: 28200 Please remit payment promptly