186427 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00351299 Page 1 of 1
ONE CIVIC SQUARE MICRO AIR INC
O CHECK AMOUNT: $22.00
CARMEL, INDIANA 46032 6320 LA PAS TRAIL
INDIANAPOLIS IN 46268 CHECK NUMBER: 186427
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 50088 22.00 CONT SERVICES TESTING
Indoor Air Quality
Catastrophe
Services
t Microbiology
r 6320 LA PAS TRAIL, INDIANAPOLIS, INDIANA 46268 Asbestos Surveys
TELEPHONE: (317 293 -1533 FAX: (317) 290 -3566 Air Monitoring
Industrial Hygiene
E -MAIL: microair@microair.com Epidemiology
e WEB SITE: http: /www.microair.com Radon Testing
Water Testing
Lead Testing
INVOICE
To: Carmel Clay Water Invoice No: 50088
Brett Ransford Terms: 30 Day Net
3450 W. 131st Street Client ID: 80 -C221
Westfield, IN 46074 Invoice Date: 5/25/2010
Federal Tax ID: 35- 1645695
Attn: Brett Ransford
Professional Services for lab analysis.
Project Name: 12986 Regent Circle
Project Number: IN5229024
Sample Numbers: 50088 -001 to 50088 -002
PO Number: N/A
Requested Turnaround: Normal
Quantity Analysis Requested Price Ea. Total
2 Coliform Drinking Water $11.00 $22.00
Total Due $22.00
Make checks payable to Micro Air, Inc. and reference the invoice on check or include payment slip.
Page 1
VOUCHER 101755 WARRANT ALLOWED
:;51299 IN SUM OF
MICRO AIR INC. +Ef?
6320 La Pas Trail c�
Indianapolis, IN 46268
0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
50088 01- 6350 -06 $22.00
Voucher Total $22.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form 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
351299
MICRO AIR INC. Purchase Order No.
6320 La Pas Trail Terms
Indianapolis, IN 46268 Due Date 6/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2010 50088 $22.00
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