309103 03/07/17 (9)
CITY OF CARMEL, INDIANA VENDOR: 00353237
ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: $""""""*115.50"
CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 309103
DALLAS TX 75320-4290 CHECK DATE: 03/07/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 24191646 115.50 OTHER EXPENSES
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TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 24191646 Invoice Date February 28,2017
Terms See Below Federal Tax ID 23-2919996
Remit to TestAmerica Laboratories Inc. PO BOX 204290,Dallas TX 75320-4290
Bill to: Ship to:
Carmel WWTP Carmel WWTP
Attn: Accounts Payable 30 West Main Street
30 West Main Street Suite 220
Suite 220 Carmel, IN 46032
Carmel, IN 46032
P.O.Number W.O.Number Contract Number Work Ordered b
Purchase Order not required Teresa Lewis
(317)571-2477
Job Description Site Name SDG Number Invoice Contact
See below Lisa Kem a
Job No. Job Description Receipt Date Quantity Unit Price Amount
Method/Test Description
J75842-1 Horton Inc. 02/21/2017
335.4-Cyanide,Total 1.00 30.00 30.00
200.7 Rev 4.4-Total Recoverable Cadmium 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Chromium 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Copper 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Lead 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Nickel 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Silver 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Zinc 1.00 12.00 12.00
Safe and Environmentally Responsible Waste Management 1.00 1.50 1.50
(per sample)
Project Number Client Number Project Manager Subtotal $115.50
24009460 1406871 Amy McCormick
Latest Sample Receipt Date Latest Report Date Phone Number Total $115.50
02/21/2017 02/28/2017 330 966-9787
For proper credit,please include invoice number on all remittance.
TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720
This invoice falls under TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in Page 1 of 1
place at the time these services were rendered.