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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 Cnt anA refiim with navm P.nt