HomeMy WebLinkAbout319098 11/28/17 CITY OF CARMEL, INDIANA VENDOR: 358403
l ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $****'"941.00'
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 319098
vM_TSN_ . 7300 TUSSING ROAD CHECK DATE: 11/28/17
t, REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 I0173339 941.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358403 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHARDON LABORATORIES INC IN SUM of$ CITY OF CARMEL
ACCTS RECEIVABLE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
7300 TUSSING ROAD rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
REYNOLDSBURG, OH 43068
Payee
$941.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Building Operations
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10173339 43-509.00 $941.00 1 hereby certify that the attached invoice(s),or 10/31/17 10173339 $941.00
1208 101 1208 101
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
Monday, November 27,2017
Crider,James
Administration
I 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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
C HARDON LABORATORIES Lyle]
Corporate Service&Research Center Invoice No. 10173339
7300 Tussing Road order No. 00064617
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
,SOLD TO: TO:
JOHN DUFFY JOHN DUFFY
CARMEL UTLITIES CARMEL ENERGY CENTER
30 W MAIN 777 THIRD AVENUE SW
CARMEL, IN 46032 CARMEL, IN 46032
To include the applicable chemicals&service outlined.in Schedule 12 for Cooling Towers,Schedule 13 for r Steam Boilers and/or Schedule 14 for-Closed Systems. For_
detailed information on these schedules,please see you Master Service Agreement.
CUSTOMER • NO. TERMS SALES PERSON • • INVOICE
517-4024 NET 30 =ARK HEIRBRANDT 297709 10/31/2017
ITEM • DESCRIPTION UNIT PRICE QTY EXTENDED PRICE
SN10.05 SN-10 5 GALLON 297.00 3.00 891.00
SF35.05 SCALEFREE 35 5 GALLON 0.00 1.00 0.00
Subw,,;qed To
N 0 V 2-1 2017 ,
--le�r
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 891.00
ACCOUNTS RECEIVABLE
Trade Discount 0.00
7300 TUSSING ROAD Shipping&Handling 50.00
REYNOLDSBURG, OHIO 43068 Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all Tax Total 0.00
applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and 941.00
orders of the United States Department of Labor issued under Section 14,thereof. Less Paid Amount 0.00
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices.
• 941.00