HomeMy WebLinkAbout325804 05/30/18 1 us CggM i
��(` �f, CITY OF CARMEL, INDIANA VENDOR: 355990
{ ® ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $
.....***50.00*
i:.. ,ate; CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 325804
1`1;f'pN�G�'\ MADISON IN 47250 CHECK DATE: 05/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20265004 50.00 OTHER CONT SERVICES
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# 355990 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 50.00 P.O. Box 968 Date Due
Madison, IN 47250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#ornvolce Description
Dept# INVOICE No. ACCT#!TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20265004 4350900 $ 50.00 Board Members 5/21/18 20265004 Pool Water Testing MCC 5/15/18 50151 $ 50.00
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
$ 50.00 Total $ 50.00
May 22,2018
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 1pkollm�
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
:.Laborato r Invoice 20265004 ' t
Invoice.Date: 05/21/2018 �� �
635 Green Road;PO Box 968,Madison,IN 47250
Instantly access all of your invoices:24 hours/day;365.days/year by Tel:812.273'.6699 Fait:812.273.5788
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Billing InformationI0312e No.: 20265004
Paula Schlemmer Invoice Date: 0 512 1/2 01 8
Carmel-Clay.Parks=Monon Community Center Samples Received: 05/15/2018
1411 E..116th St. Order No.: 2018050423
Indianapolis, IN_46280-
PONo,:
Project description: POOL
Invoice Notes:
Item/Test.Name Quantity. Unit Cost ;Line Totah
Collection fee Per,Sam le 2
P I . $5.00 $10:00
Pool.Analysis 2 $20.00 $40:00
RECEIVED
By pschlemmer at 8:48 am, May.22, 2018
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