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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