HomeMy WebLinkAbout311079 5/9/2017 (9- )
CITY OF CARMEL, INDIANA VENDOR: 355031
ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTHQVAQK AMOUNT: S********83.00*
CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 311079
CHICAGO IL 60677-7001 CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 489630 83.00 TESTING FEES
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Community Occupational Health Svs
7169 Solution Center
Chicago, IL 60677-7001
Phone: 317-621-0341
FEIN: 35-1955223
Invoice
May 02, 2017
Bill to: Jim Spelbring For: Carmel Civilian
Cannel Utilities 04/17
1 Civic Square
Cannel, IN 46032-
Invoice# 489630
Proc Code Date Description Qty Charge Receipt Adjust Balance
80301 04/21/2017 Rapid 5 Panel UDS 1.00 51.00 51.00
82075 04/21/2017 Breath Alcohol Test 1.00 32.00 32.00
Jarrod Huff XXX-XX-9810 Balance Due: 83.00
Invoice# 489630 Balance Due: 83.00
Please remit payment promptly
Submitted To
MAY 0 8 2017
Clerk Treasurer
•• .P „with navment