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HomeMy WebLinkAbout331705 10/30/18 CITY OF CARMEL, INDIANA VENDOR: 355031 • ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH%NFOK AMOUNT: $********47.00* CARMEL, INDIANA 46032 7169 SOLUTION CENTER CHECK NUMBER: 331705 CHICAGO IL 60677-7001 CHECK DATE: 10/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 538904 47.00 MEDICAL FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355031 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Community Occupational Health Services Payee 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ Purchase Order# 355031 Community Occupational Health Services Terms $ 47.00 7169 Solution Center Date Due Chicago, IL 60677-7001 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#or INVOICE NO. ACCT WTITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-99 538904 4340700 $ 47.00 Board Members 10/15/18 538904 Pre-Employment Drug Testing $ 47.00 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 $ 47.00 Total $ 47.00 October 22,2018 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 1PAh4WLMjA) claim paid motor vehicle highway fund Signature -,20_ Accounts Payable Coordinator Clerk-Treasurer Title Community.Occupatior'--Heal Sus 7169 Solufion,,ECe�„rter�, Chicago_ On Phone: Phone: 317-621-0341 FEIN: 35-1955223 RE C r IVSD OCT 1 9 2018 BX:. ............................. Invoice �'cfio 6 eT5��201a8.t--� Bill to: Lynn Russell For: Carmel Clay Parks &Recreation Carmel Clay Parks &Recreation 9/18 1411 E. 116th St. Carmel, IN 46032- oce�#�a5y389�.®?F;� Proc Code Date Description QQt rr Charge Receipt Adi Balance 746404 09/25/2018 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 MONIECE JONES Balance Due: 47.00 Invoice# 538904 alance Due: 4 ; Please-remit payment promptly