HomeMy WebLinkAbout332942 12/06/18 `�
CITY OF CARMEL, INDIANA VENDOR: 355990
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $********50.00*
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?a' CARMEL, INDIANA 46032 PO BOX 968 CHECK NUMBER: 332942
9 j�TON�, MADISON IN 47250 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20280131 50.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ Purchase Order#
355990 Environmental Laboratories, Inc. Terms
$ 50.00 P.O. Box 968 Date Due
Madison, IN 47250
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#ornvoice Description
Dept# INVOICE NO. ACCT#frITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20280131 4350900 $ 50.00 Board Members 11/26/18 20280131 Pool Water Tesing MCC 11/20/18 51811 $ 50.00
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
$ 50.00 Total $ 50.00
November 28,2018
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
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
E
Laborato Invoice 202801311E7m p.,p
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nv-oice.Date: 11/26/2018 . ��
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635 Green Road;PO Box 968,Madison W477250
Instantly access all of your invoices 24 hours/day;365 days/yeae by
going to.www.envgolabsi*.com andclicking on Client Data Support. Tef 812.273 6699 Faz.812.273.5788
9
Billing Information f U00 1 c-el No.: 20280133
Paula Schlemmer Invoice Date: 1 /26/2018
Carmel=Clay Parks.=Monon Community Center Samples Received:: 11/20/2018
1411 E. 116th St. : . Order No.: 2018110317
Indianapolis; IN:46280:: _ PO No.!
'Project description; . .. POOL-
Invoice !Votes,
Item/Test Name - QuantityUnit Cost Line Total
Collection Fee Per.Sample 2 - . $5.00'' $10:00. :
... ..Pool Analysis. 2 $20.00 -$40:00.
RECEIVED
By:pschlemmer at 9:15
am, lVov 27,2018
(fold and.Cut Here) inu�oic_e Tiotal: