183455 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL INDIANA 46032 PO Box 1002 CHECK AMOUNT: $160.00
INDIANAPOLIS IN 46206 -1002
CHECK NUMBER: 183455
CHECK DATE: 3/1612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 M83746 160.00 BUILDING REPAIRS MA
Invoice To: The Monon Center
1235 Central Park Drive Eastindoice;:Narober: RA 83746
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 30- Jan -10
Phone: (317) 573 -5239
Payrnent.Terrns: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
Work0rder: M09120280 PO Number: Date Received:
Pool Aqueous 2 I 520.00 $40.00
Test TOTAL $40:00
piscvu'iit 0.00%
Surcharge: 0.00%
Mise Comments: Mise Charges: $0.00
Order TOTAL: $40.00
Please Refer to Invoice
Number on Remittance Iinvoice TOTAL: r 'SI69A
2 of 2
Sherry Laboratories. DATE: °o2 Mar -to
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TEL: 765- 378 -4103 FAX: 765 378 -4109
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Plumber; IVl 83746
Carmel, IN 46Q32 Customer Number.: 13185
Attu: Jeremy Kerr Payment Due Date'. 30' Jan -10
Phone: (317) 573 -5239
'Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price. Test To tal
WorkOrder. M09110377 PO Number: Date Received:
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL:. $40:00
Discount: 0.00
Surcharge: 0.00
Misc Comments: Mise Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M09120071 PO Nuniber: Date'Re eivM
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc .Comments: Misc Charges: $0:00
Order TOTAL: 540.00
WorkOrder: M09120179 PO Number: Date'Receiv:ed:
Pool Aqueous 2 1 $20.90 $40.00
Test TOTAL:' 540.00
Discount: 0.00 %n
Surcharge 0:00%
Mise Comments: Misc Charges:. $0.00
Order:TOTAL: $40.00
I of 2'
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show, kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
00351367 Sherry Laboratories
P.O. Box 1002 Date Due
Indianapolis, IN 46206 -1002
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/2110 M83746 Water testing 22600 160.00
�a
Total 160.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No,
Allowed 20
00351367 Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
160.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1093 M83746 4350100 160.00 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
11 -Mar 2010
Signature
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund