319069 11/27/17 CITY OF CARMEL, INDIANA VENDOR: 355990
.i; il•
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $.....**'50.00*
r' CARMEL, INDIANA 46032 PO 13Ox 968 CHECK NUMBER: 319069
MADISON IN 47250 CHECK DATE: 11/27/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20256216 50.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1094 20256216 4350900 $ 50.00 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
November 21, 2017
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Laboratory Invoice 202562.16
Invoice Date: 11/20/2017
635 Green Road;FO Bo 968 Madison IN 47250
Instantly access all of your invoices.24 hours/day,365 days/year by Tel:812.273.6699 Faic:812.273.5788-
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Billing.Information. Immoice No.• 20256016 .
Paula Schlemmer hnmoiCe Dat 11/2OIZU17.
Carmel-Clay Parks-Monon Community Center. Samples Received: 11/14/2017
1411 E. 116th St. Order No.: 2017110203 .
Indianapolis, IN 46280 PO:No.::
Project description: . POOL
Invoice Notes:
Item/Test Name J Quantity Unit Cost Line Total?
Collection Fee Per,Sample 2 $5.00 $10:00 -
Pool Analysis 2 $20.00 $40.00
NCV 2.1? 2017 .
(Fold and Cut Here) lnuoice Total: