HomeMy WebLinkAbout330870 10/09/18 �„r_c�gy
�! CITY OF CARMEL, INDIANA VENDOR: 355990
® ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $********75.00*
,I� z.
?�; CARMEL, INDIANA 46032 PD BOX 968 CHECK NUMBER: 330870
M�TON_�. MADISON IN 42250 CHECK DATE: 10/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20277186 75.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 75.00 P.O. Box 968 Date Due
Madison, IN 47250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20277186 4350900 $ 75.00 Board Members 9/28/18 20277186 Pool Water Testing MCC 9/25/18 51811 $ 75.00
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
$ 75.00 Total $ 75.00
October 1,2018
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 20277186Eanronmentl
Invoice.Date: 09/28/2018 LR&Ordlorles,
635 Green Road;FO Box 968 Madison IN 47250
Instantly access all of your invoices:24 hours/day;365 days/year byTef:812.273.6699 Faz'.812.273.6788
going to.www.envirolabsinc.com and clicking.on Client Data Support.
Billing.Information Invoice No.: 20277186
Paula Schlemmer invoice Date: 09/28/2018 .
Carmel:=Clay Parks=Monon.Community Center _ Samples Received: . 09/25%2018 .
1411 E. 116th St. Order No.:
-2018090677: .
Indian6polis,-IN:46280 P0:No,:
Project description: .. POOL. -.
Invoice Notes:
.
Item/Test Name Quantity Unit Cost Llne Total
-Collection fee-Per Sample . 3 $5.00 . $15:00. .
. .Pool Analysis 3 : -. $20.00 ..$60.'00
RECEIVED
BY Pschlemmer at 8:39 am, Oct 01, 2018
(Fold and Cut Here) Invoice Tofal: $75.00.