184936 04/27/2010 f CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
0 E, ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $200.00
CARMEL, INDIANI'y 46032 PO BOX 1002
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 184936
CHECK DATE: 4/2712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1094 4350900 M84045 200.00 OTHER CONT SERVICES
O S 1 1 E R RY TESTING TODAY, PROTECTING TOMORROW
LA80 RATO R I E S www.sHERRYLA6s.coM LA `7� (790j
en
Sherry Laboratories DATE: 02- Apr -10
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TEL: 765 3784103 FAX: 765 378 -4109
Invoice To: The Monon Center
1235 Central Park Drive East Invoice Dumber: M 84045
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 02- May -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10020376 PO Number: Date Received: 2/23/2010 Pool Samples
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: $40.00
WorkOrder: M10020475 PO Number: Date Received: 3/212010 Indoor Pool Samples
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: M10030074 PO Number: Date Received: 3/9/2010 Indoor Pool Samples
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: $40.00
1 of 2
S H E R R l TESTING TODAY, PROTECTING TOMORROW
LABOR ATORII E15 WWW.SHERRYLABS.COM
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Number: M=84.045_
Carmel, IN 46032 Customer Number: 131$5
Attn: Jeremy Kerr Payment Due Date: 02- May -10
Phone: (317) 573 -5239 Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10030173 PO Number: Date Received: 3/16/2010 Indoor Pool Samples
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: $40.00
WorkOrder: M10030273 PO Number: Date Received: 3/23/2010 Indoor Pool Samples
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: $40.00
Please Refer to Invoice
Number on Remittance Invoice TOTAL: $200
APR 3 6 7 010
Purchase BY:
Description Iaj
P.O.0 PorF
Budget
line Desc r
Purchaser Date
Approval Date
2 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
412110 M84045 Water testin Mar'10 200.00
Total 200.00
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
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 M84045 4350900 200.00 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
22 -Apr 2010
L P h� 1 1 1 w
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund