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Home My WebLink About325924 06/05/18 CITY OF CARMEL, INDIANA VENDOR: 355031 .�; ® 1• ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH CSkjAOK AMOUNT: $"****""940.00* CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 325924 9y�GoN"co" CHICAGO IL 60677-7001 CHECK DATE: 06/05/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 524288 940.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. - An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 940.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 524288 4340700 $ 940.00 Board Members 5/15/18 524288 Pre-Employment Drug Testing 51417 $ 940.00 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 $ 940.00 Total $ 940.00 May 24,2018 t 1 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 / ��!sIr-�(/IYLm4k claim paid motor vehicle highway fund Signature 20 Accounts Payable Coordinator Clerk-Treasurer Title Community ObmpationaI;-,m_'jSVS ;; 7f1!69"Solution Center kChicago,;il'L 60671' Phone: 317= RECIVET,, FEIN: 35-1955223 MAY 2. 1 2018 Y: Invoice ---------------------- Ma. 15: 201.8. Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 05/18 1411 E. 116th St. Carmel, IN 46032- 2rlvolce:# 524288 Proc Code Date Description QtV Charge Receipt Adjust Balance 746404 05/05/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Tawfik Abedali Balance Due: 47.00 746404 05/08/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Megan H Armstrong Balance.Due: 47.00 746404 05/11/2018 Drug Screen-Non NIDA 5 Panel_ 1.00 47.00 47..00.. Megana V Bammidi Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Dean E Davis Balance Due: 47.00 746404 05/05/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Robin Douglass Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Collin P Emmert Balance Due: 47.00 746404 05/02/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Natalie M Freehan Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jerry Herald Balance Due: 47.00 _.. .._. ..............------------ -......------------ ---. ------ 746404 05/01/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Amy L Holderman Balance Due: 47.00 746404 05/08/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Constance H Jones Balance Due: 47.00 _.--------- -------- ------------------ 746404 --..-----------746404 05/07/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Emily Katter Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 -, Invoice # 524288 (continued)page 2 Cameron Milam Balance Due: 47.00 746404 05/05/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Gabriela Mounayar Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Ethan Perkins Balance Due: 47.00 746404 05/08/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Theresa Pritchard Balance Due: 47.00 746404 05/08/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Natalie F Rumreich Balance Due: 47.00 746404 05/10/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Rachel Salisbury Balance Due: 47.00 746404 05/01/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Madison Story Balance Due: 47.00 746404 05/11/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Shandi N Walker Balance Due: 47.00 746404 05/09/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Ashley J Yang Balance Due: 47.00 Invoice# 52.4288 Balani -D- , " - =x`40:00` J Please remit payment promptly