HomeMy WebLinkAbout330863 10/09/18 y ur t�Ab
CITY OF CARMEL, INDIANA VENDOR: 355031
® ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH ROK AMOUNT: $********94.00*
s., a`; CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 330863
'�;,�TON�.` CHICAGO IL 60677-7001 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340700 535784 94.00 MEDICAL FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355031 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Community Occupational Health Services Payee
7169 Solution Center
Chicago, IL 60677-7001 In Sum of$ Purchase Order#
355031 Community Occupational Health Services Terms
$ 94.00 7169 Solution Center Date Due
Chicago, IL 60677-7001
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
PO#or Invoice Description
INVOICE NO. ACCT#/TITLE AMOUNT
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 535784 4340700 $ 94.00 Board Members 9/17/18 535784 Pre-Employment Drug Testing xx7456 $ 94.00
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
$ 94.00 Total $ 94.00
October 1,2018
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 1PA0AftMLU
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Comm n ty06at,pational`We Ith , vs
7169 Solu�fiion C
Chicago„IL 60�6Z,7=7001
hone 317=621 '034=1
FEIN: 35-1955223 RPICFTEVEID
JLN202018
BY: . ..
Invoice
Septe.�ber;.X17;32®1x8
Bill to: Lynn Russell For: Carmel Clay Parks &Recreation
Carmel Clay Parks &Recreation 09/18
1411 E. 116th St.
Carmel, IN 46032-
Invoi"ce
Proc Code Date Description QtV Charge Recei t Adiust Balance
746404 09/05/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00
Mary M Cremer Balance Due: 47.00
_......._....__...._................_...........__.............._.._._.....__........ ..........._............._......_....__................_....._......._....._........................
........_...._.
746404 09/05/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00
Emily C Huettemann Balance Due: 47.00
I IVoice.# 53 4 BalariceM e';
94.00
Please remit payment promptly
X X" 745
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