319127 11/30/17 u �qq
4�'s ''" CITY OF CARMEL, INDIANA VENDOR: 355990
d ii ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $.... 190.50*
,a4; CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 319127
.1"!th�itbd'�, MADISON IN 47250 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20256043 42.00 OTHER EXPENSES
601 5023990 20256044 42.00 OTHER EXPENSES
601 5023990 20256104 22.50 OTHER EXPENSES
601 5023990 20256197 42.00 OTHER EXPENSES
601 5023990 20256222 42.00 OTHER EXPENSES
Voucher # 173438 Warrant# Prescribed by State Board of Account City Form No.201(Rev 1995)
ALLOWED 20
355990 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
ENVIRONMENTAL LABORATORIES, INC. CITY OF CARMEL
635 GREEN RD. An invoice or bill to be properly itemized must show, kind of service, where
P.O. BOX 968 performed, dates of services rendered, by whom, rates per day, number of units
MADISON, IN 47250 price per unit, itc.
Payee
Carmel.Water Utility 355990 Purchase Order
No.
ON ACCOUNT OF APPROPRIATION FOR ENVIRONMENTAL LABORATORIES, INC. Terms
635 GREEN RD. Due Date
Board P.O. BOX 968 Due Date
Members
MADISON, IN 47250
Description
Audit Trail INVOICE (or note attached invoice(s) or
PO # INV# ACCT# AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT
20256043 01-6350-06 $42.00 11/22/2017 20256043 $42.00
20256044 01-6350-06 $42.00 11/22/2017 20256044 $42.00
20256104 01-6350-03 $22.50 11/22/2017 20256104 $22.50
20256197 01-6350-06 $42.00 11/22/2017 20256197 $42.00
20256222 01-6350-06 $42.00 11/22/2017 20256222 $42.00
Voucher Total $190.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
t 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
Date Officer
Laboratory Invoice 20256043nironmental
Invoice Date: 11/16/2017 Lboratones, nc.
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
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20256043
]aimie Foreman Invoice Date: 11/16/2017
Carmel Utilities Samples Received: 11/14/2017
3450 W. 131st Street Order No.: 2017110179
Indianapolis, IN 46280 PO No.:
Project description: TC
Invoice Notes:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform& E.Coli P/A 4 $14.00 $56.00
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21 X 35. ce
(Fold and Cut Here)�\ Invoice Total: $42.00.
Laboratory Invoice 20256044 nyi.ronmen'd
Lab
Invoice Date: 11/16/2017 rat0nes 11C
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
going to www.envir6l6bsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 20256044
]aimie Foreman Invoice Date: 11/16/2017
Carmel Utilities Samples Received: 11/15/2017
3450 W. 131st Street Order No.: 2017110183
Indianapolis, IN 46280 PO No.:
Project description: TC
Invoice Notes:
Item/Test Name Quantity Unit Cost , Line}Total
Total Coliform& E.Coli P/A 4 $14.00 $56.00
1 ,01
Q0
(Fold and Cut Here) L 1(Y�G71: Q Invoice Total: $42.00
Laboratory Invoice 20256222 nvironzneital
Invoice Date: 11/20/2017 �boratorles nC.
L
Instantly access all of our invoices 24 hours/day,365 days/year b 635 Green Road,PO Box 968,Madison, 47250
y y Tel:812.273.6699 Fax:812.273.577 88
going to www.envirolabsinc.com and clicking on Client Data Support
Billing Information Invoice No.: 20256222
Jaimie Foreman Invoice Date: 11/20/2017
Carmel Utilities Samples Received: 11/15/2017
3450 W. 131st Street Order No.: 2017110184
Indianapolis, IN 46280 PO No.:
Project description: TC
Invoice Notes:
Item/Test Name Quantity Unit Cost tine Total
Total Coliform& E.Coli P/A 4 $14.00 $56.00
I
(Fold and Cut Here) Invoice Total: $42.00
Laboratory Invoice 20256104 Laboratofleso-viroru-E
�ntaInvoice Date: 11/17/2017 A1C.
635 Green Road,PO Boz 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
going to vnimenvirolabsinc.com.and clicking on Client Data Support.
Billing Information Invoice No.: 20256104
]aimie Foreman Invoice Date: 11/17/2017
Carmel Utilities Samples Received: 11/08/2017
3450 W. 131st Street Order No.: 2017111089 .
Indianapolis, IN 46280 PO No.:
Project description: TOC
Invoice Notes:
Item/Test Name Quantity." Unit Cost . Line Total
Total Organic Carbon (TOC) 1 $30.00 $30.00
(Fold and Cut Here) Invoice Total:: $22.50.
Laboratory Invoice 20256197nvironmental
Invoice Dater 1/20/2017
Lloraton&es nc.
Instantly access all of your invoices 24 hours/day,365 days/year by 635 Green Road,PO Box 968,Madison,IN 47250Tel:812.273.6699 Fax:812.273.5788
going to www.envirolabsinc.com and clicking on Client Data Support.
Billing Information Invoice No.: 26256197
]aimie Foreman Invoice Date: 11/20/2017
Carmel Utilities Samples Received: 11/16/2017
3450 W. 131st Street Order No.: 2017110294
Indianapolis, IN 46280 PO No.:
Project description: TC
Invoice Notes:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform& E.Coli PIA 4 $14.00 $56.00
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(Fold and Cut Here) Invoice Total: $42.00