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HomeMy WebLinkAbout322017 02/19/18 '�Coq 4��.... ' CITY OF CARMEL, INDIANA VENDOR: 355031 d ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH QatIROK AMOUNT: S""`"329.00* x CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 322017 k�(ION. ` CHICAGO IL 60677-7001 CHECK DATE. 02/19/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 514737 282.00 MEDICAL FEES 1091 4340700 514737 ` 47.00 MEDICAL FEES 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# 355031 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago,IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 329.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 1109 Monon Center PD#ornvolce Description Dept# INVOICE NO. ACCT#ffITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 514737 4340700 $ 282.00 Board Members 2/2/18 514737 Pre-Employment Drug Testing 50904 $ 282.00 1091 514737 4340700 $ 47.00 2/2/18 514737 Pre-Employment Drug Testing 50904 $ 47.00 1 hereby certify that the attached invoice(s),or bili(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except $ 329.00 Total $ 329.00 February 15,2018 1 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title CornLri unityOccupeitlon51--Health Svs ���1i69:-Soli�tiora�Cenfer �Ghicago, IQ'-;,6fl'6717t70'0.1 7 Phone-`3-1`7=621=0341---�' y J, FEIN. 35-1955223 LSEB 0 8 20-10 B�_�:. Invoice �ebrualy-Q2,�201-8� Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 01/18 1411 E. 116th St. Carmel, IN 46032- �In�rolce Proc Code ICD Date Description QtV Charge Receipt Adiust Balance 746404 01/18/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Donny Andrews Balance Due: 47.00 ......................._._..............._.........__..-......_.................._......_............._._......_.... 746404 01/24/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Michelle-.Brown Balance Due: 47.00 ------------- 746404 ----------746404 01/18/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Katelyn Doan Balance Due: 47.00 ._ ......._.... .-.__. ._.................................. ........................._._...... 746404 01/31/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Kathleen Fairman Balance Due: 47.00 _..------ ...................... _._..-..._.......... _.......... ...... ------._.._.. 746404 01/25/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jasmine Hazelwood Balance Due: 47.00 746404 1) 01/16/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 S93.401A 2)Y93.39 Pamela Runyan Balance Due: 47.00 _... . ...... . . ..... . ..... ._._-.._ .. ..... ._.. ........... .._._... - .. 746404 01/22/2018 DrugScreen-Non NIDA 5 Panel 1.00 47.00 i 47.00 Caitlin E Stahl Balance Due: 47.00 ---------------- Invoice# 514737 Balance Due: 329:0,0 Please remit payment promptly