HomeMy WebLinkAbout332590 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 00353237
ONE CIVIC SQUARE TESTAMERICA LABORATORIES, INC CHECK AMOUNT: $*******116.50*
CARMEL, INDIANA 46032 PO BOX 204290 CHECK NUMBER: 332590
DALLAS TX 75320-4290 CHECK DATE: 11/21/18
/i0N CO.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2400004174 116.50 OTHER EXPENSES
VOUCHER NO. 186839 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00353237 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
TESTAMERICA LABORATORIES, INC CITY OF CARMEL
PO BOX 204290 An invoice or bill to be properly itemized must show: kind of service,where performed,
DALLAS,TX 75320-4290 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
116.50 00353237 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR TESTAMERICA LABORATORIES, INC Terms
Carmel Wasterwater Utility PO BOX 204290 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), DALLAS,TX 75320-4290
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2400004174 01-7352-05 $116.50 and received except 11/13/2018 2400004174 $116.50
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 claim paid motor vehicle highway fund. 20
Clerk-Treasurer
TestAmerica
THE LEADER IN ENVIRONMENTAL TESTING
Invoice/Credit No. 2400004174. -Invoice Date November 08,2018
Terms See Below Federal Tax ID 1.23-2919996-
Remit
.23-2919996-Remit to TestAmerica Laboratories,Inc.PO BOX 204290,Dallas,TX 75320-4290.
Bill to: Ship to:
Carmel WWTP Carmel WWTP
Attn:Accounts Payable 30 West Main.Street
30 W Main:St_ Suite 220
Suite 220 Carmel,IN 46032
Carmel,IN 46032
P.O.Number -W.O..Number Contract Number. Work Ordered b
Purchase Order not required Teresa Lewis
317 571-
2477 -
Job Description' Site Name SDG Number Invoice Contact
See below Teresa Lewis.
Job No. Job Description - Receipt Date Quantity Unit Price. Amount .
Method/Test Description
J103563-1 Horton Pit 10/3.0/2018
335.4--Cyanide,Total 1.00. 30.00 30.00
200:7 Rev 4.4-Total Recoverable Cadmium 1.00 --'12.00 12.00-
200.7 Rev 4.4=Total Recoverable Chromium 1.00. 12.00 12:00
200.7,Rev 4.4-:Total Recoverable Copper Loo 12:00 12.00
.200.7 Rev 4:4-Total Recoverable Lead - 1.00 12.00 12.00
200.7 Rev 4.4-Total Recoverable Nickel 1,00 12.00 12.00
--200:7 Rev 4.4-Total Recoverable Silver 1.00 12.00 12:00 -
200.7 Rev 4.4-Total Recoverable Zinc 1.00 12.00 12.00
Safe and Environmentally Responsible Waste Management 1.00 2.50 .2.50
- - (per sample) .
Project Number Client.Number Project Manager Subtotal(USD) $116.50
24009460 1406871 Amy McCormick
Latest Sample Receipt Date Latest Report Date Phone Number Total(USD) .$116.50
10/30/2018 11/08/2018: 330 966=9787
For proper credit,please include invoice number.on all remittance.
TestAmerica Canton-,4101 Shuffel-Street NW,North Canton,OH 44720
This invoice falls under TestAmerica Laboratories Inc.Standard T&.C's of Net 30 Days unless superseded by.another valid contract.vehicle in Page 1 of 1
place at the time these services-were rendered. -