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HomeMy WebLinkAbout322992 03/21/18 `Cqq CITY OF CARMEL, INDIANA VENDOR: 355031 ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH% ROK AMOUNT: $'""""282.00' r ?� CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 322992 vy, CHICAGO IL 60677-7001 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 518216 282.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 282.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 108-ESE PO#or Invoice Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 518216 4340700 $ 282.00 Board Members 3/2/18 518216 Pre-Employment Drug Testing 51026 $ 282.00 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 $ 282.00 Total $ 282.00 March 12,2018 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature —,20— Accounts 20_Accounts Payable Coordinator Clerk-Treasurer Title Community OccupationalHealth Sv p � 7169 Solution Center Chicago, IL 60677-700 Phohe�"3"17`621 0341 -FEIN: 35-1955223 MAR 0 8 2018 BY: Invoice Niyarch.02, 2018 Bill to: Lynn Russell For: Carmel Clay Parks & Recreation Carmel Clay Parks &Recreation '02/i18 1411 E. 116th St. Carmel, IN 46032- __ 1nry oiM#,,-,%5:182-16 Proc Code Date Description Qty Charge Receipt Adiust Balance 746404 02/26/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Diana S King Balance Due: 47.00 746404 02/22/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Matthew S Macke Balance Due: 47.00 746404 02/22/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Maya Mash Balance Due: 47.00 746404 02/21/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Rachel McDanell Balance Due: 47.00 746404 02/21/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Nisha Singh Balance Due: 47.00 746404 02/23/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Grant Syrek Balance Due: 47.00 Invoice'# 5�1�82?16 Balance.Due��r � 282,00 Please remit payment promptly