HomeMy WebLinkAbout326571 06/28/18 1 1 4ggy�
a;��� �� CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $*******200.00*
,_� CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 326571
�'�ro`N�. MADISON IN 47250 CHECK DATE: 06/28/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20267754 200.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 200.00 P.O. Box 968 Date Due
Madison, IN 47250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or nvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20267754 4350900 $ 200.00 Board Members 6/19/18 20267754 Pool Water Testing MCC 6/12/18 50151 $ 200.00
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
$ 200.00 Total $ 200.00
June 20,2018
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 IPAAIMLh�
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Labdh t - y�Invoice 20267754 Mal
Invoice Date: 06/19/2018
.635 Green Road,PO Bo 96 Ma is IN 4 50
Instantly access.all of your invoices.24 flours/day,365 days/year by Tel:812.273.6699 Fax:812:273.5788
going-to www.envirolabsinc.com•and:clickin on Client Data Su
Billing.lnformation : nYoice,No . `7~ 0267754
Paula Schlemmer hnvoice Dat , u� X06/19/2 9
Carmel=Clay Parks-Monon Community.Center Saniptes Received: 06/12j20.18
141.1 E,:116th.St.. - Order:No.:_ 2018.060521
Indianapolis;.IN:46280 .. PO No:,
Project description: . POOL
Invoice Notes:-
Item/Test Name n ,Quantity .° R Unit Cost r Line Total'.
Collection Feb-Per:Sample - S. $5.00. $40:00
PoolAnalysis . . _
:$1608 _ $2.0:00:: .
0
. 0
RECEIVED A.
By pschlemmer at 11;42 am, Jun 20, 20,18,
(Fold and Cut Here) 117TWUMUENTLetaiD 200 0