HomeMy WebLinkAbout304519 10/31/16 ,Coq
CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*******250.00*
?� CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 304519
7300 TUSSING ROAD CHECK DATE: 10/31/16
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I0152798 250.00 OTHER EXPENSES
VOUCHER # 166427 WARRANT # ALLOWED
358403 IN SUM OF $
CHARDON, LABORATORIES INC
7300 TUSSING ROAD
REYNOLDSBURG, OH 43068
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10152798 01-7362-06 250.00 p
/Q1W,r(. C e C Tom^
Voucher Total 250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
CHAMON LABORATORES
x Corporate Service&Research Center Invoice No. 10152798
7300 Tussing Road
s Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
• .TO:
PAULARNONE JEFF COOPER
CARMEL WASTE WATER TREATMENT CARMEL W W T P
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed
information on these schedules,please see you Master Service Agreement.
CUSTOMER P.O.NO. TERMS SALES PERSON CUSTOMER NO. INVOICE DATE
NET 30 MARK HEIRBRANDT 209396 10/16/2016
ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
ZSERVICE Loop Service 250.00 1.00 250.00
o►. ,3ba.�6
REMIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 250.00
7300 TUBBING ROAD Trade Discount 0.00
REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 250.00
United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
• 250.00