182581 02/17/2010 a CITY OF CARMEL, INDIANA VENDOR: 00351379 Page 1 of 1
ONE CIVIC SQUARE UNITED LABORATORIES INC
PO BOX 410 CHECK AMOUNT: $270.02
CARMEL, INDIANA 46032 ST CHARLES IL 60174
CHECK NUMBER: 182581
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3164 270.02 OTHER EXPENSES
D ANY QUESTIONS PLEASE CALL:
(630) 377 -0900 PLEASE REMIT TO: P.O. BOX 410
www.unitediabsinc.com ST. CHARLES IL 60174 -0410
L A fB 0 W A Y 0 W 1 19 2
FEDERAL I.D. 36- 2535769 INVOICE NUMBER
SOLD CARREL CITY OF WASTE SHIP CITY OF CARREL WASTE
TO WATER UTILITIE•• °LISA KEMPA TO WATER UTILITIE- -PAUL ARNON
760 3RD AVE SW STE 110 901 N RANGE LINE RD
CARREL, IN 46032 CARREL IN 46032
TERMS: NET 30 DAYS
INVOICE DATE SHIP DATE SHIP VIA F.O.B.
62 0 IFED—X ST. CHARLES A PLEASE REFER TO THE ABOVE INVOICE NUMBER ON ANY CORRESPONDENCE
ACCOUNT NUMBER COUNTY SALESMAN 7 SALES ORDER NO. OUST. P.O. NUMBER
46032 --038 HAMILTON O'MALEYI MICHAEL 786751
DESCRIPTION
6 EA _60706C UNITED607 SMART SOLVE DEGRSR WIPES 6 /CBACC. OR FRED
12 12 EA 16112 UNITED161 SMART SOLVE UNVR DEOREA 19. 5S 234.60
"Proud to be employee--" owned"
ANY OUANTiTY OR ITEM NOT
SHIPPED COMPLETE IS AUTO-
MATICALLY BACK ORDERED. 'IF YOUR FIRM IS TAX EXEMPT PLEASE FURNISH PROPER CERTIFICATE WITH PAYMENT.
THE MERCHANDISE LISTED ABOVE HAS BEEN PRODUCED IN ACCORDANCE
WITH THE FAIR LABOR STANDARDS ACT OF 1939, AS AMENDED. 03/06/10 234.60 0.00 35. 42 270.02
ABSOLUTELY NO MERCHANDISE RETURNED FOR CREDIT
WITHOUT PRIOR WRITTEN CONSENT. DUE DATE NET INVOICE SALES TAX'
2% FINANCE CHARGE PER MONTH FOR AMOUNTS ORIGINAL INVOICE FREIDNTAN
NOT RECEIVED WITHIN STATED TERMS. PAY NO MONEY TO AGENTS
I
VOUCHER 097311 WARRANT ALLOWED
351379 IN SUM OF
UNITED LABORATORIES, INC.
PO BOX 410
ST. CHARLES, IL 60174
Carrel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3164 01- 7200 -02 $270.02
Voucher Total $270.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City'Form No. 201 (Rev 1995),
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351379
UNITED LABORATORIES, INC. Purchase Order No.
PO BOX 410 Terms
ST. CHARLES, IL 60174 Due Date 2/10/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/10/2010 3164 $270.02
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
Al
Date Officer