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Home My WebLink About186430 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 t' ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC i CHECK AMOUNT: $275.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 la.i� INDIANAPOLIS IN 46204 CHECK NUMBER: 186430 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 205648 24.00 TESTING FEES 1201 R4358800 19348 205648 31.00 TESTING FEES 1201 4358800 205895 110.00 TESTING FEES 1201 4358800 206718 55.00 TESTING FEES 1201 4358800 206897 55.00 TESTING FEES Invoice Midwest Toxicology Services, Inc. DATE INVOICE F5/21/2010 205895 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Iamb cc Jim Carmel, IN 46032 Still Mail results to Jim CLZ CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Carmel 05/19/10 Christopher Kauffman ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Carmel 05/18/10 Andrew Loveall D JUN 0 7 2010 By A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $110.00 Make. Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 -262 -2200 or fax us at 3.17- 262 -2222. Be sure to visit our website at www.nzidivesttoxicologv.com. Midwest Toxicology Invo services, 1'nc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/2/2010 206897 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim CLZ CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occupational Health Center, Carmel, IN 06/01/10 Greg Moffitt D JUN 0 7 2010 By A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.ntidwestloxicoloDy.coni. Midwest To.xicofogy 1 I3 A I 04� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/1/2010 206718 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss Email results to Barb Lamb cc Jim 1 Civic Square Carmel, IN 46032 Still Mail results to Jim CLz CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occupational Health Center Carmel 05/27/10 Sarah Rutkowski D JUN 0 7 2010 8y A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www nzidwesttoxicologv.eom. 19341 Widwest ?oXicofogy Inv Q Services, Inc. DATE INVOICE 5/18/2010 205648 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim CI 7 CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ, Health, Carmel, IN 05/13/10 Alex Miser A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 3.17 -262 -2222. Be sure to visit our website at www.midwesttoxicology.com. VO NO. WAR NO. ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $275.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department 7348 t. INV6ICE NO. ACCT #/TITLE AMOUNT Board Members 205648 43- 588.00 $55.00 1 hereby certify that the attached invoice(s), or 19348 205895 43- 588.00 $110.00 bill(s) is (are) true and correct and that the 19348 206718 43- 588.00 $55.00 materials or services itemized thereon for 19348 206897 43- 588.00 $55.00 which charge is made were ordered and received except Monday, June 07, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts amity 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/18/10 205648 $55.00 05/21/10 205895 $110.00 06/01/10 206718 $55.00 06/02/10 206897 $55.00 1 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