HomeMy WebLinkAbout180799 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $190.00
k: CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 968 CHECK NUMBER: 180799
'°*.2::f�"` MADISON IN 47250
CHECK DATE: 12130/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
501 5023990 2009110479 190.00 6350.03
F nvironmental ri
Eboratories, Inc-
Invoice No 20098843 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No. 2009110479
ACCOUNTS PAYABLE P.O. No.
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 12/11/2009
WESTFIELD IN 46074
7
Test Name m QU Fitit
SOC Addt'I Monitioring EPA 525.2 1.00 $180.00 180.00
STATE Forwarding Fee 1.00 $10.00 10.00
Page 1 Total Due 190.00
(Fold and Tear Here)
VOUCHER 093982 WARRANT ALLOWED Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
355990
IN SUM OF CITY OF CARMEL
s
ENVIRONMENTAL LABORATORIES, II\
635 GREEN RD. j An invoice or bill to be properly itemized must show, kind of service, where
P.O. BOX 968 performed, dates of service rendered, by whom, rates per day, number of units, an
MADISON, IN 47250 0 price per unit, etc.
Carmel Water Utility
Payee
355990
ON ACCOUNT OF APPROPRIATION FOR ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 12/22/2009
Board members i
MADISON, IN 47250
Invoice Invoice Description
PO INV ACCT AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
12/22/2004 2009110479 $190.00
2009110479 01- 6350 -03 $190.00
I1
Voucher Total $190.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and f
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Cost distribution ledger classification if
claim paid under vehicle highway fund z /L
Date Officer