186124 06/07/2010 CITY OF CARMEL, INDIANA VENDOR: 358403 Page 1 of 1
ONE CIVIC SQUARE CHARDON LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 1004 CHECK AMOUNT: $1,750.00
ACCT RECV CHECK NUMBER: 186124
COLUMBUS OH 43216 -1004
CHECK DATE: 6/7/2010
DEPARTMENT AC P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460807 I0046587 1,750.00 ENERGY CENTER
PLEASE NOTE: WE ARE CLOSING OUR POST OFFICE BOX
PLEASE SEND ANY PAYMENTS AND /OR
CORRESPONDENCE TO:
CHARDON LABORATORIES, INC.
7300 TUSSING ROAD
REYNOLDSBURG, OH 43068
CHARDON LA®ORATOMES
Corporate Service Research Center Invoice No. 10046587
7300 Tossing Road Order No.
Reynoldsburg, Ohio 43068
Shipper ID S0047547
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
ACCOUNTS PAYABLE JOHN DUFFY
CARMEL REDEVELOPMENT COMM CARMEL ENERGY CENTER
30 W MAIN STREET 777 THIRD AVENUE SW
SUITE 220 CARMEL, IN 46032
CARMEL, IN 46032
"i o include the applicable chemicals service outlined in Schedule 12 far Cooling Towers, Schedule 13 for Steam Boilers and /or Schedule 14 for Closed Systems. For detailed
information on these schedules, please see you Master Service Agreement.
NET 30 297709 4/16/2010
v r e
ZSERV ICE PowerPure/Tower /Loop service 1,750.00 1.00 1,750.00
ZFUEL Fuel Surcharge 0.00 1.00 0.00
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 1,750.00
ATTN: ACCOUNTS RECEIVABLE
7300 TUSSING ROAD
REYNOLDSBURG, OHIO 43068 Shipping Handling 0,00
Misc. Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended and on regulation and orders of the 1,750-00
United States Department of Labor issued under Section 14, thereof. Less Paid Amount 0.00
Afinance charge of 1.5% per month, 18% annum, will be added to overdue invoices.
e 1,750.00
Prescribed by State Board of AccoLnts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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
c 4rdcn Purchase Order No.
+1 p
7) 6 V 5 5 �1 11 Terms
5 .6
R o nAS_ b u r q, O H 4 300 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4—) 00 4 6587 ev Qkk�e L s v v c,e for E C 115o.00
Total 750
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk Treasurer
VOUCHER NO. WARRANT NO.
II ALLOWED 20
rdf111 LA hdO6('-S' jA6
IN SUM OF
7'A0 Tuss'In�) RA.
�e �►no l �s 6 �rg �I-� ��6�$
1 750. 0
ON ACCOUNT OF APPROPRIATION FOR
Pay from TIF 1110
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
7 �f �i 60 $07 7� 0 O Q bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
J received except
Z 7- 20)
Director O?Weedevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund