183274 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
0 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $1,525.00
CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 968 CHECK NUMBER: 183274
MADISON IN 47250
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W09060 20100838 1,455.00 TESTING
601 R5023990 W09060 20101087 25.00 TESTING
601 R5023990 W09060 20101088 15.00 TESTING
601 R5023990 W09060 20101089 15.00 TESTING
601 R5023990 W09060 20101090 15.00 TESTING
z
E nvironmental
L aboratories., inc.
Invoice No. 20100838 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No. 2010020342
ACCOUNTS PAYABLE P.O. No.
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 02/12/2010
WESTFIELD IN 46074
4 4
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es
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UCMR 527 529 3 $485.00 1455.00
Page 1 Total Due 1455.00
(Fold and Tear Here)
nvironrnental
Invoice laboratories., inc,
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6669 Fax: 812.273.5788
Bill To: Invoice No.: 20101090
Accounts Payable Invoice Date: 2/25/2010
CARMEL UTILITIES Order No.: 2010020576
3450 W. 131st STREET PO No.: Pit 5
WESTFIELD, IN 46074
Item/Test.Name Quantity Unit Cost Line Total
Nitrate -N 1 $15.00 $15.00
(Fold and Cut Here) Invnii -p Tntnl• 4 t15 nn
i
r�v�ror�rn:e�:tal
Invoice haWratop tic
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6669 Fax: 812,273.5788
Bill To: invoice No.: 20101089
Accounts Payable invoice Date: 2/25/2010
CARMEL UTILITIES Order No.: 2010020575
3450 W. 131st STREET PO No.: Flowing Well
WESTFIELD, IN 46074
F Item%7est Name pfi QuantltyUrilt Cosf. `A Line;Totalry
Nitrate -N 1 $15.00 $15.00
n ronmeiital
Invoice Laboratories n
635 Green Road, PO Box 968, Madison, IN 47250
Tel:812.273,6669 Fax:812.273.5788
Bill To: Invoice No.: 20101088
Accounts Payable Invoice Date: 2/25/2010
CARMEL UTILITIES Order No.: 2010020574
3450 W. 131st STREET PO No.: Plt 3
WESTEIELD, IN 46074
a
I Item/Test Name Quaritl s tJ It Cost' t f Llne�l"ot
Nitrate -N 1 $15.00 $15.00
E Ir
;vlranntal
Invoice Laboratories, 11C.
635 Green Road, PO Box 968, Madison, IN 47250
TeL 812.273.6669 Fax: 812.273.5788
Bill To: Invoice No 20101087
Accounts Payable Invoice Date; 2/25/2010
CARMEL UTILITIES Order No.: 2010020573
3450 W. 131st STREET PO No.:
WESTFIELD, IN 46074
"''rItern/Test Name��_' uant `ryr ,Umt Cost a !_irl'erTotal
Q tY rr
Nitrate -N i $15.00 $15.00
State Forwarding Fee 1 $10.00 $10.00
Prescribed by State Board of Accounts
Form NO 301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TQ
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
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.
ho
Mo. Day vr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ANOT.
55990 CARMEL, INDIANA
EnviraRmpra,�o�a +pal r
(,35 green �c j
McA 14 g7ao5 l�'C�
Total Amount of Voucher
i aim _:Deductions F
W �1 p X15
A-010 I ON 15
DS
Amount of Warrant 5
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Pro ress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
e0YCE FORMS SYSTEMS 1- 806382 -8702 325