305107 11/14/16 y u!"F�AgI
CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,750.00*
4• CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 305107
7300 TOSSING ROAD CHECK DATE: 11/14/16
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 20153354 1,750.00 BUILDING MATERIAL
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CHARDON LABORATORIES INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ACCTS RECEIVABLE IN SUM OF$ CITY OF CARMEL
7300 TUSSI NG ROAD An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
REYNOLDSBURG, OH 43068 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,750.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Building Operations
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10153354 43-509.00 $1,750.00 1 hereby certify that the attached invoice(s),or 10/16/16 10153354 $1,750.00
1208 101 1208 101
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
Tuesday, November 08,2016
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
J20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CHARDON LABORATORIES I�
Corporate Service&Research Center Invoice No. 10153354
7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web:www.chardonlabs.com
• .TO: TO:
ACCOUNTS PAYABLE JOHN DUFFY
CITY OF CARMEL-DEPT OF ADMIN CARMEL ENERGY CENTER
ONE CIVIC SQUARE 777 THIRD AVENUE SW
CARMEL, IN 46032 CARMEL, IN 46032
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 297709 10/16/2016
ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
ZSERVICE PowerPurelTower/Loop service 1,750.00 1.00 1,750.00
' NOV 0 7 2016
REMIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 1,750.00
7300 TUSSING 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 1,750.00
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
• 1,750.00