334315 01/10/19 CITY OF CARMEL, INDIANA VENDOR: 355990
® 4e, ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $...*****50.00*
a CARMEL, INDIANA 46032 PO Box 968 CHECK NUMBER: 334315
p� ter. MADISON IN 47250 CHECK DATE: 01/10/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20281976 50.00 OTHER CONT SERVICES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show',kind of service,where performed,dates service rendered,by
Vendor# 355990 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Environmental Laboratories, Inc. Payee
P.O. Box 968
Madison, IN 47250 In Sum of$ 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#or Invoice Description
Dept# INVOICE NO. ACCT#1TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1094 20281976 4350900 $ 50.00 Board Members 1/2/19 20281976 Pool Water Testing MCC 12/26/18 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
January 3,2019
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
Laboratort-Invoice: 202819.76
} � n .
Invoice.Date: 0.1/02/2019..: -
635 Green Road,PO Box 968 Madison IN 47254 '
Instantly access-all of your invoices:24 hours/day;365 days/year by Tel:.e12.273'.6699 Faz'.812.273.5788
going to.www:enwrolabsinc.com and.clicking.on Client Data Support.--
Billing
upport.:Billing Information - Invoice No.; 20281976
Paula Schlemmer Invoice Date: Oil 2019
Carmel=Clay.Parks.'Monon Community Center Samples Received: . 12/26/2018
: 1411 E..116th.St. :. Order No.: 2018120403 :
Indianapolis; IN:46280 PO:No,:
ProjecE description; . .. POOL. .. . . .
Invoice Notes:
3 T Item/Test Name Quantity lJnit Cost LIneTotal
Collection Fee.Per.Sample . 2 $5.00::. $10:00.:
PooLAnalysis . 2. : . $20.00 - -$40:00.
RECEIVED
By pschlemmer at 8:38 am, Jain 03, 2019
.00
(Fold and.Cut Herel. - - Invnira Tintal� : $5 ..