HomeMy WebLinkAbout332636 11/21/18 4�f C�g3f(
CITY OF CARMEL, INDIANA VENDOR: 358403
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $*******113.00*
CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK NUMBER: 332636
7300 TUSSING ROAD CHECK DATE: 11/21/18
REYNOLDSBURG OH 43068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 10194120 113.00 OTHER EXPENSES
VOUCHER NO. 186889 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 358403 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
CHARDON LABORATORIES INC CITY OF CARMEL
7300 TUSSING ROAD An invoice or bill to be properly itemized must show: kind of service,where performed,
REYNOLDSBURG, OH 43068 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
113.00 358403 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CHARDON LABORATORIES INC Terms
Carmel Wasterwater Utility 7300 TUSSING ROAD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice REYNOLDSBURG, OH 43068
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
I0194120 01-7202-06 $113.00 and received except 11/15/2018 I0194120 $113.00
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I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
� � CHARDON LABORATORIES 07161161=1
Corporate Service&Research Center Invoice No. 10194120
7300 Tussing Road Order No. 00072504
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
SOLD TO: SHIP
PAULARNONE JEFF COOPER
CARMEL WASTE WATER TREATMENT CARMEL W W T P
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For
detailed information on these schedules,please see you Master Service Agreement.
NET 30 Mark Heirbrandt 209396 10/31/2018
FTFORING NEPTUNE 0-RING FOR FTF 18.00 6.00 108.00
Received by :
ly7"late: II IS -1$ . PO #• SNl0
;acct #: 01 .0�
Use: � - �.NSs •1�cr /AAc-0
REMIT TO:' CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 108.00
7300 TUSSING ROAD Trade Discount 0.00
S
REYNOLDSBURG, OHIO 43068 hipping&Handling 5.00
Misc.Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all Tax Total 0.00
applicable requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and 113.00
orders of the United States Department of Labor issued under Section 14,thereof.
Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount 0.00
• 113.00