325628 05/23/18 CITY OF CARMEL, INDIANA VENDOR: 358403
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d ai ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*****1,750.00*
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 325628
7300 TOSSING ROAD CHECK DATE: 05/23/18
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1208 4350900 20182125 1,750.00 OTHER CONT SERVICES
VOUCHER'NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 358403
CHARDON LABORATORIES INC IN SUM OF$ CITY OF CARMEL
ACCTS RECEIVABLE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
7300 TUSSING ROAD rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
REYNOLDSBURG, OH 43068
Payee
$1,750.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Building Operations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10182125 43-509.00 $1,750.00 1 hereby certify that the attached invoice(s),or 4/16/18 10182125 $1,750.00
1208 101 1208 101
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
Tuesday, May 15, 2018
Crider,James
Administration
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
f `
,. CHARBON LABORATORIES
f Corporate Service&Research Center Invoice No. 10182125
.3 7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web:www.chardonlabs.com
JOHN DUFFY JOHN DUFFY
CARMEL UTLITIES CARMEL ENERGY CENTER
30 W MAIN 777 THIRD AVENUE SW
CARMEL, IN 46032 CARMEL, IN 46032
_To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For
detailed information on these schedules,please see you Master Service Agreement-- - --- ----
NET 30 MARK HEIRBRANDT 297709 4/16/2018
ZSERVICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00
FCS
2018
rer
REMIT TO: CHARDON LABORATORIES, INC.
Sales Total 1,750.00
ACCOUNTS RECEIVABLE Trade Discount 0.00
7300 TUSSING ROAD Shipping&Handling 0.00
REYNOLDSBURG, OHIO 43068 Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all Tax Total 0.00
applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and 1,750.00
orders of the United States Department of Labor issued under Section 14,thereof. Less Paid Amount 0.00
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices.
1,750.00