314168 07/31/17 CITY OF CARMEL, INDIANA VENDOR: 355990
(9)
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $********21.00*
CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 314168
MADISON IN 47250 CHECK DATE: 07/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350900 20233800 21.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
355990 Environmental Laboratories, Inc. Terms
P.O. Box 968
Madison, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/24/17 20233800 Splash Pad Water Testing W.Commons 7/17/17 xx5076 $ 21.00
Total $ 21.00
1 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
, 20
Clerk-Treasurer
Laboratory Invoice 20233800 Environmental
Invoice Date: 07/24/2017 Laboratoriies, inn.
635 Green Road,PO Box 968,Madison,IN 47250
Instantly access all of your invoices 24 hours/day,365 days/year by Tel:812.273.6699 Fax:812.273.5788
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Billing Information Invoice No.: 20233800
Paula Schlemmer Invoice Date: 07/24/2017
Monon West Splash Pad-Carmel Clay Parks Samples Received: 07/17/2017
1411 E. 116th St. Order No.: 2017070623
Carmel, IN 46032 PO No.:
Project description: TC
Invoice Notes:
33 �Qu T",
'703Uni dine
Total Coliform& E.Coli P/A 2 $14.00 $28.00
RR07r.q ED
JUL 252017
BY:
(Fold and Cut Here) Invoice Total: $21.00
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