HomeMy WebLinkAbout182911 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363758 Page 1 of 1
ONE CIVIC SQUARE LABSOURCE CHECK AMOUNT: $215.36
CARMEL, INDIANA 46032 97400 EAGLE WAY
CHICAGO IL 60678 -9740 CHECK NUMBER: 182911
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11935 789317 23.16 LAB SUPPLIES
651 5023990 S11935 789402 192.20 LAB SUPPLIES
Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, 9740 L abSource
PH: 800-545-8823 •FAX: 630 -343 -1701 FEIN #36 3631684
Invoice 789317
Date 01/31/2010
PO# S11935
Bill To Ship To
City of Carmel City of Carmel
Teresa Lewis Teresa Lewis
Wastewater Lab Wastewater Lab
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Customer Ship Via FOB "Terms
NONCUS UPS Ground Commercial Origin NET 30 DAYS
Purchase Order# Salesperson Order Date Sales Order#
S11935 AF 01/07/2010 671766
Line Quantity UOM Catalog Description Price Extended
Ord Ship BO
1 1 0 1 EA 3 410 8 -041 SO LUTION PH STORAGE 475ML $35.75 $0.00
2 -T 2 2 0 EA 02- 964 -12 P APER F /PR 2340 254038 $9. $18.16
3 2— 0 2 EA 13 -641 -883 AMMONIA PH ADJUSTING ISA $61.49 $0.00
haz
Pkg 1- 1Z22E4360306349641
Subtotal $18.16
Shipping Handling $5.00
Invoice Total $23.1fi
Page 1 of 1
Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, 60678 -9740 LabSource
PH; 800 -544 5 -8823 •FAX: 630 343 -1701 FEIN #36 3631684
Invoice 789402
Date 01/3112010
PO# S11935
Bill To Ship To
City of Carmel City of Carmel
Teresa Lewis Teresa Lewis
Wastewater Lab Wastewater Lab
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Customer Ship Via FOB Terms
NONCUS UPS Ground Commercial Origin NET 30 DAYS
Purchase Order Salesperson Order Date Sales Order
S11935 AF 01/07/2010 6 71766
Line Ord Quan Shi gp 1.10M Catalog Description Price Extended
1 1 1 0 EA 34 108 -041 SOLUTION PH STORAGE 475ML 35.75 $3575
2 2 2 0 EA 13- 641 -883 AMMONIA PH ADJUSTING ISA $61.49 $122.98
haz
Subtotal $158.73
Shipping Handling $33.47
Invoice Total $192.20
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VOUCHER 0,9735;:1 WARRANT ALLOWED
363758 IN SUM OF
LABSOURCE
Ea 7Y00 CpgfP Why
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV ACCT AMOUNT Audit Trail Code
789402 01- 7202 -05 $158.73
789402 01- 7202 -05 __J32 A7
��g3ll o1.�2dZ x.3.1
1
Voucher Total
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
363758
LABSOURCE Purchase Order No.
1186 ARBOR DRIVE Terms
ROMEOVILLE, IL 60446 Due Date 2/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2010 789402 $192.20
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
Date O r