308396 02/22/17 CITY OF CARMEL, INDIANA VENDOR: 355990
® it ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $********44.00*
CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 308396
?.y`ltoi+c`o� MADISON IN 47250 CHECK DATE: 02/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20223926 44.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 44.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 20223926 4350900 $ 44.00 1 hereby certify that the attached invoice(s), or
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
February 16, 2017
1PAW1*UqU-)V
Signature
$ 44.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
4�
Laboratory Invoke 20223926 c �
Invoice ®ate: 02/14/2017( .
-. ��.
635 Green Road PO Box 968;Mad sonY^,IW47250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:81 .2'3.6699- Fax:812.273:578&�
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Billing Information IniolceNo '20�22926a
Paula Schlemmer involce Date £,N '?OZ/14/201r7
Carmel-Clay Parks-Monon Community Center Samples Received: 02/07/2017
1411 E. 116th St. Order No.: 2017020138
Indianapolis, IN 46280 PO No.:
Project description:
Collection Fee Per Sample 2 $4.00 $8.00
Pool Analysis 2 $18.00 $36.00
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21117
BY:
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