186798 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
0 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $190.00
CARMEL, INDIANA 46032 635 GREEN ROAD
t oN ia PO BOX 968 CHECK NUMBER: 186798
MADISON IN 47250
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20103121 190.00 6350.03
hvironmental
EV
Invoice Lawratories, inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Bill To: Invoice M.: 20103121
Accounts Payable Invoice Date: 5/31/2010
CARMEL UTILMES Order No.: 2010050506
3450 W. 131st STREET PO No.:
WESTFIELD, IN 46074
E'
a.
ua
SOC Addt'l Monitoring EPA 525.2 1 $180.00 $180-00
State Forwarding Fee 1 $10.00 $10.00
U0
(Fold and Cut Here) Invoice Total: $190.00
7 T
VOUCHER 101859- WARRANT ALLOWED
35590 IN SUM OF
ENVIRONMENTAL LABORATORIES, IN
635- GREEN RD.
P.O. BOX 968
MADISON, IN 47250 O 2
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20103121 01- 6350 -03 $190.00
Voucher Total $190.00
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 6/15/2010
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/2010 20103121 $190.00
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