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314618 08/08/17 (9, ) CITY OF CARMEL, INDIANA VENDOR: 355990 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $*******200.00CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 314618 MADISON IN 47250 CHECK DATE: 08/08/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350900 20234013 200.00 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 7/26/17 20234013 Pool Water Testing MCC 7/18/17 40382 $ 200.00 Total $ 200.00 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 . l Laboratory Invoice 20234013 nvironmental Invoice Date: 07/26/2017 ELaboratories, inc. Instant/ access all of our invoices 24 hours/da 365 da s/year b 635 Green Road,PO Box ax: Madison,7 47250 Y Y Y. Y Y Tel:812.273.6699 Fax:812.273.5788 going to www.envirolabsinc.com and clicking on Client Data Support. Billing Information Invoice No.: 20234013 Paula Schlemmer Invoice Date: 07/26/2017 Carmel-Clay Parks-Monon Community Center Samples Received: 07/18/2017 1411 E. 116th St. Order No.: 2017070680 Indianapolis, IN 46280 PO No.: Project description: POOL Invoice Notes: '�- d �j}•y �333'y� - 'j �,r / Ci1 i3 ,1, a Collection Fee Per Sample 8 $5.00 $40.00 Pool Analysis 8 $20.00 $160.00 (Fold and Cut Here) Invoice Total: $200.00