HomeMy WebLinkAbout326197 06/12/18 \� CITY OF CARMEL, INDIANA VENDOR: 00353237
{ ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: S'.'""""116.50"
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CARMEL, INDIANA 46032 Po BOX 204290 CHECK NUMBER: 326197
vM,�ON- DALLAS TX 75320.4290 CHECK DATE: 06/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2410810 116.50 OTHER EXPENSES
VOUCHER NO. 185671 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00353237 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
TESTAMERICA INC �q� CITY OF CARMEL
PO BOX'_'_ uLt A' o An invoice or bill to be properly itemized must show: kind of service,where performed,
-C4iieagortr-60% 3a-0 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
116.50 00353237 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR TESTAMERICA INC Terms
Carmel Wasterwater Utility PO BOX 99742 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Chicago, IL 60690
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24210810 01-7362-05 $116.50 and received except 6/4/2018 24210810 $116.50
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. 20_
Clerk-Treasurer
TestAmerica .
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No.. 24210810 Invoice Date. May 29,2018
Terms See Below Federal Tax ID23-2919996 .
Remit:to TestAmerica Laboratories Inc.PO BOX 204290,Dallas TX 75320-4290.
Bill to: Ship to:
Carmel WWTP- Carmel WWTP
Attn::Accounts:Payable 30 West Main Street
9609 Hazel D611 Pkwy Suite 220
Indianapolis,IN 4.6280 Carmel,IN.46032
P.O.Number W.O.Number Contract Number Work Orderedby
Purchase Order not required Teresa Lewis
317 .571-2477..
Job Description Site Name SDG Number" Invoice Contact.
See below Lisa Kem a.
Job No. Job Description- Receipt Date Quantity Unit Price Amount.
Method/Test Description
J95592-1. Horton,Inc.Pit" 05/15/2018
335.4. Cyanide,Total 1.00 30.00 -30.00
200.7 Rev 4.4=Total Recoverable Cadmium - 1.00 12.00 12.00
200.7 Rev 4.4 Total Recoverable Chromium 1.00 12.00 _ 12.00_
2003 Rev 4.4-Total Recoverable Copper 1.00 12.00 : 12:00
200.7"Rev-4.4-Total Recoverable Lead 1.00, 12.00 12.0.0
200.7 RevA.4-Total Recoverable Nickel 1.00 12.00 12.00
2003 Rev 4.4 Total Recoverable Silver 1.00 '12.00 12.00
200.7 Rev 4.4-Total Recoverable Zinc 1.00 - 12.00 . 12.00
Safe and Environmentally Responsible Waste Management 1.00 2.50 2.5.0
(per sample)
Project Number Client Number Project Manager Subtotal(USD). $116.50
24009460 1445697 Amy McCormick, -
Latest Sample'Receipt Date - - Latest Report Date Phone Number. Total(USD) $116.50.
05./15/2018 05/25/2018 330 966-9787
For proper credit,please include invoice number on all remittance.
TestAmerica Canton-4101 Shuffel Street NW,North Canton,OH 44720
This.invoice falls under.TestAmerica Laboratories Inc.Standard T&C's of Net 30 Days unless superseded by another valid contract vehicle in. . . Page 1 of 1.
place at the time these services were rendered.