HomeMy WebLinkAbout329407 08/27/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $*******150.00*
CARMEL, INDIANA 46032 PO sox 968 CHECK NUMBER: 329407
MADISON IN 47250 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20273921 150.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show,kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 150.00 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 20273921 4350900 $ 150.00 Board Members 8/20/18 20273921 Pool Water Testing MCC 8/14/18 51811 $ 150.00
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
$ 150.00 Total $ 150.00
August 21,2018
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
claim paid motor vehicle highway fund Signature .,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Laboratory Invoice 20273921
T ries-. ,nC:
635 Green'Road,PO Box 968 Madison l 47250
Instantly access all of your invoices:24 hours/day;365.days/yeae by TeL 812.273.6699 Fax'812.273.5788
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Billing Information
Invoice No.: 20273921
Paula Schlemmer hn�oice Date: 08/20%2098
Carmel=Clay.Parks..-Monon Community Center Samples Received:: 08/14/2018
1411Z 116th.St. Order No.: 2018080681
Indianapolis, IN:46280
PO'.Non.
Project description: POOL-.
'Invoice Notes-. .
"
Item/Test Name _ J Quantity Unit Cost Line Total; .
Collectionfee.Per.Sample . 6 $5.00 $30:00
Pool Analysis 6 $20.00 $120.00
RECEIVED
By pschlemmer at 8:23
am, Aug 21, 2018
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