186289 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $844.00
s� CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 968 CHECK NUMBER: 186289
MADISON IN 47250
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W09060 20102833 790.00 TESTING
601 5023990 20102850 54.00 OTHER EXPENSES
E nvi ronmen tal
Invoice La oratories- i nc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812,273.6699 Fax: 812.273.5788
l'
Bill To: Invoice No.: 20102833
Accounts Payable Invoice Date: 5/25/2010
CARMEL UTILITIES Order No.: 2010050301
3450 W. 131st STREET PO No.:
WESTFIELD, IN 46074
Name
HAA5 3 $190.00
$570.00
State Forwarding Fee 1 $10.00 $10.00
Total THM 3 $70.00 $210.00
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(Fold and Cut Here) Invoice Total: $790.00
nvi. onmentw
Invoice a inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273,6699 Fax: 812.273.5788
1
Bill To: Invoice No.: 20102850
Accounts Payable Invoice Date: 5/25/2010
CARMEL UTILITIES Order No.: 2010050388
3450 W. 131st STREET PO No.:
WESTFIELD, IN 46074
Tter3i Test�Name a'�
I a r".,s a C�ua^t! fa n mr3 lJrltt C 5 *fie; r r s tJne i Otal
Sodium, Total Rec. -(ICP) 3 $18.00 $54.00
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p lQ
(Fold and Cut Here) Invoice Total: $54.00
VOUCHER 1 01, 92 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, IK
535 GREEN RD.
P_O. BOX 958 -XX
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20102833 01- 6350 -03 $790.00
54.00
Voucher Total9gq, Qo s7
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts ,_City Fr rm 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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 611/2010
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 20102833 $790.00
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
Date Officer