320108 12/27/17 ♦°r"CgAM
�/ '• CITY OF CARMEL, INDIANA VENDOR: 355990
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ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $....****50.00*
ao CARMEL, INDIANA 46032 PO BOX 968. CHECK NUMBER: 320108
vy,TON..co� MADISON,IN 47250 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20257534 50.00 OTHER CONT SERVICES
Voucher No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 20257534 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
December 18, 2017
y
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1m� �
LabTA
orato . Invoice 20257534 Entl`
Invoice Date: 12/15/2017. ' .`' , 15, 1�C:
635 Green Road;RE 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.envirolabsi.nc.com and clicking on Client Data Support.
-B'illing Information invoice No.: Z025�7534
Paula Schlemmer Invoice Date: 92/15/2017.
Carmel:.Clay Parks Monon Community Center . - Samples Received: '. 12/12/2017
1411 E..116th St. _ Order No. 2017120139.
Indianapolis, IN-46280 PO No,:. .
Project scription
de -
Invoice.Notes: . • -
Item/Test Name Quantity Unit Cost Line Total;
Collection fee Per.Sample . : 2 $5.00 - $10m.
. .Pool.Analysis ' - 2 $20.00 $40:00 ..
DEC. 1-8 .201
BY:
(Fold and Cut Here) Invoice O al: _ X50.00.