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Home My WebLink About325376 05/23/18 `y �qp\ CITY OF CARMEL, INDIANA VENDOR: 355031 ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH%kIRQK AMOUNT: $*******423.00* :9 ,_�; CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 325376 M�f}�N�L'�'• CHICAGO IL 60677-7001 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 522664 423.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL _ VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order 355031 Community Occupational Health Services Terms $ 423.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund =o#orInvoice Description Dept# INVOICE NO. ACCT#MTLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 522664 4340700 $ 423.00 Board Members 5/2/18 522664 Pre-Employment Drug Testing 51323 $ 423.00 I 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 $ 423.00 Total $ 423.00 May 14,2018 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 120— Accounts 20Accounts Payable Coordinator Clerk-Treasurer Title Community,O�ccuppational .J66!thfSvs. 7169 SQIuSion Cente�� C. hicago;L 60677;,70�01y PF,CF 'VE+ D FEIN: 35-1955223 MAY 042018 BY:. .................... Invoice 6y,102 2018 Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 04/18 1411 E. 116th St. Carmel, IN 46032- Invoice# ,5 2266-4 7 Proc Code Date Description QtV Charge Receipt Adjust Balance 746404 04/23/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Nikita Bammidi Balance Due: 47.00 746404 04/25/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jessica A Bookout Balance Due: 47.00 746404 04/25/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Aaron Boskovich Balance Due: 47.00 746404 04/23/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Marshae Carroll Balance Due: 47.00 746404 04/19/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Hope R Castillo Balance Due: 47.00 746404 04/25/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Andrew O Gostomelsky Balance Due: 47.00 746404 04/12/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Enas A Mekhail Balance Due: 47.00 746404 04/18/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Emily A Timmons Balance Due: 47.00 ------ ---.-.--- ----- -------- --- - .---- --------- 746404 - --746404 04/12/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Mollie D Wilson Balance Due: 47.00 5=4-)8 LR �Inv,oice# 322664Balance'Due Please remit payment promptly