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Home My WebLink About186941 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $275.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 186941 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 207114 55.00 TESTING FEES 1201 4358800 207325 55.00 TESTING FEES 1201 4358800 207432 55.00 TESTING FEES 1201 4358800 207708 55.00 TESTING FEES 1201 4358800 207784 55.00 TESTING FEES r Widwest Toxicology Invoic o ffwt;i ?vf DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/14/2010 207784 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 Crz 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 06/11/10 Grant Weber D JUN 2 1 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 377 -262 -2200 or fax us at 377- 262 -2222. Be sure to visit our wehsite at www.midwesttoxicology.cam. Midwest Toxicology nvoi Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/14/2010 207708 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 Y 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. 06/10/10 Kristofer Ahern D �aa JUN 2 1 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: MJDWEST 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.niidwe.vttoxicoloDy.coni. Midwest To.-ricofogy Invo 0 9 0� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 fi1912010 207432 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 ctz CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE CITY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Occupational Health Carmel 06/07/10 Keith Smith D JUN 2 1 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 wsvw.niidwesttoxicology.co n. Midwest Toxicofogy I o DATE INVOICE 603 East Washington Street, Suite 200,Indianapolis, IN 46204 6/8/2010 207325 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 KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test M... 1 Non -DOT Drug Test 55.00 55.00 Collected at Midwest Indianapolis 6/4/10 Richard Utley A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 3.17 -262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.midwesttoxicology.coin. I� Midwest 7oxicofogy Invo Services, Inc. DATE INVOICE 6/7/2010 207114 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 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 06/03/10 Kurt Anderson D IN 21 2010 sy 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 377- 262 -2222. Be sure to visit our wehsite at rvtivw.ntidwesttnxicologp.com. VOUCHER NO. WAR NO. ALLOWED 20 Mid Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $27 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1201 207114 43- 588.00 $55.00 1 hereby certify that the attached invoice(s), or 1201 207325 43- 588.00 $55.00 bill(s) is (are) true and correct and that the 1201 207432 43- 588.00 $55.00 materials or services itemized thereon for 1201 207708 43- 588.00 $55.00 which charge is made were ordered and 1201 I 207784 I 43- 588.001 $55.00 received except Friday, June 18, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor 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 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)) 06/07/10 207114 $55.00 06/08/10 207325 $55.00 06/09/10 207432 $55.00 06/14/10 207708 $55.00 06/14/10 I 207784 I I $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