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HomeMy WebLinkAbout330675 10/02/18 CITY OF CARMEL, INDIANA VENDOR: 355031 a. ® I, ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH%UftQK AMOUNT: $...... s_ CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 330675 CHICAGO IL 60677-7001 „oN�• CHECK DATE: 10/02/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 533583 329.00 MEDICAL FEES 1125 4340700 533583 47.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 376.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund/108 ESE Po#or nvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 533583 4340700 $ 47.00 Board Members 9/5/18 533583 Pre-Employment Drug Testing 51920 $ 47.00 1081-99 533583 4340700 $ 329.00 9/5/18 533583 Pre-Employment Drug Testing 51920 $ 329.00 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 $ 376.00 Total $ 376.00 September 25,2018 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 1pkjttm�� claim paid motor vehicle highway fund Signature _,20_ Accounts Payable Coordinator Clerk-Treasurer Title SEP/21/2018/FRI 12;59 PM VEI CBO FAX No. 317-621-0301 P. 002 Co mu ,y Occupational 4eafth Svs 7189'Solutlon Genfer� Chicago,-IC-60677-7001 �� 5 e Phone;317-6210341 FEIN: 35-1955223 Invoice September-p5;2018 Bill to: Lynn Russell For: Carmel Clay Parks&Recreation Carmel Clay Parks &Recreation 08/18 1411 B. 116th St. Carmel, IN 46032- Invoice#533583 Proc Code ICD Date Description City Charge Receipt dust Balance 746404 08/15/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47,00 Robert Anderson Balance Due: 47.00 746404 08/22/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Jisette N Blondet Balance Due: 47,00 746404 08/15/2018 Drog Screen-Non NIDA 5 Panel 1.00 47.00 47,00 Michelle M Carroll Balance Due: 47,00 746404 08/22/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Lily K Oneil Balance Due: 47.00 746404 1 08/17/2018 Drug Screen-Non NIDA 5 Panel 1100 47.00 47.00 S80.10XA 2) W01,198A Richard.1 Ranstord Balance Due: 47.00 746404 08/29/2018 Drug Screen-Non NIDA 5 Panel 1.00 47,00 47.00 Ashley N Salina$Balance Due: 47,00 746404 08/16/2018 Drug Screen-Non NIDA 5 Panel 1.00 47,00 47.00 Destrae E Spille Balance Due: 47.00 746404 08/15/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Deja Thomas Balance Doe; 47,00 Inwo-i e H 01983 Balance Due- O 0- Please Please remit payment promptly SEP/21/2018/FRI 12;59 PM VEI CBO FAX No. 317-621-0301 P. 003 Invoice# X335$3 (continued)page 2