HomeMy WebLinkAbout321080 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 355990
d �I ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $.....***50,00*
x ?� CARMEL, INDIANA 46032 PO 60x•968 CHECK NUMBER: 321080
MADISON IN 47250 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20258809 50.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20 whom rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 50.00 P.O. Box 968 Date Due
Madison, IN 47250
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20258809 4350900 $ 50.00 Board Members 1/15/18 20258809 Pool Water Testing MCC 1/9/18 50151 $ 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
$ 50.00 Total $ 50.00
January 16,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
l� with IC 5-11-10-1.6
Cost distribution ledger classification if �f'
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Laborato Invoice 20258809 '
" � -
Invoice Date: 01/15/2018. ? tiS
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635 Green Road PO Box 968 Madison,IN 47250
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Billing,Information. invoice No.: 20258809
Paula.Schlemmer FliffOgir.e Date: = 01/15/2018 .`
Carmel:=Clay Parks=Monon Community Center. Samples Received::. 01/09/2018
1411 E,116th,St. : _ Order No.: : 2018010348
Indianapolis, IN-46280 PO:No.,::-
Project description; . .. .
Inv
nice,Notes: -
Item/Test Name Quantity Unit Cost Line Tota
Collection fee-Per Sam le . 2
p $5.00;:. - .. _ . $1000.
Pool Analysis 2. . $20..0:0 $40.00 _.
(Fold and.Cut Here) Invoice Total: