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HomeMy WebLinkAbout324124 04/18/18 1��.�Aq,,f. CITY OF CARMEL, INDIANA VENDOR: 355031 _; ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH QldAQK AMOUNT: $*******141.00* ?�; CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 324124 1!1"' , CHICAGO IL 60677-7001 CHECK DATE: 04/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1061 4340700 520593 94.00 MEDICAL FEES 1125 4340700 520593 47.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 141.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund/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 520593 4340700 $ 94.00 Board Members 4/3/18 520593 Pre-Employment Drug Testing xx6686 $ 94.00 1125 520593 4340700 $ 47.00 4/3/18 520593 Pre-Employment Drug Testing xx6686 $ 47.00 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 $ 141.00 Total $ 141.00 April 10,2018 I 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 �/' kjV&W1J-KM claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title tCorimumity Occupati6natYea I 1QQQ91S.617tj_a.n Center. 317-621-0341 11 r K 0 6 2018 FEIN: 35-1955223 LEI—. Invoice Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 03/18 1411 E. 116th St. Carmel, IN 46032- Proc Code Date Description QtV Charge Receipt Adjust Balance 746404 03/27/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Timothy Allen Balance Due: 47.00 .......... .............. 746404 03/20/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Tera Bbtta Balance Due: 47.00 ...................... 746404 03/15/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Brad Webster Balance Due:- 47-.00 Please remit payment promptly Cnt and return with navrnent