187024 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 1002 CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 187024
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CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE A MOUNT DESCRIP
1093 4350100 M84288 200.00 BUILDING REPAIRS MA
GSHERRY TESTINGIODAY, PROTECTING TOMORROW
LABORATORIES WWW.SHERRYLABS.COM
Sh erry Laboratories DATE: 28- May -10
Remit To: Sherry Laboratories Indiana INV ®ICE
PO Box 1002
Indianapolis, IN 462061002
Attn: f DO
TEL: 765 -378 -4103 FAX: 765- 378 -4109
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Number: M 84288
Carmel, IN 46032 Customer Number: 13185
Attn: Carrie Keaveney Payment Due Date: 27- Jun -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit P r i ce Test Total
WorkOrder: M10040379 PO Number: Date Received: 4/27/2010 Indoor Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M10040486 PO Number: Date Received: 5/4/2010 Indoor Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc. Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M10050096 PO Number: Date Received: 5/11/2010 Indoor Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
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QSl ERRY TESTING TODAY, PROTECTING TOMORROW
L A B O R A T O R I E S WWW.SHERRYLABS.COM
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Number: M 84288
Carmel, IN 46032 Customer Number: 13185
Attn: Carrie Keaveney Payment Due Date: 27- Jun -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10050240 PO Number: Date Received: 5/18/2010 Indoor Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: 540.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M10050410 PO Number: Date Received: 5/25/2010 Indoor Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: 540.00
Please Refer to Invoice
Number on Remittance Invoice TOTAL: $200.00
2 of 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00351367 Sherry Laboratories
P.O. Box 1002 Date Due
Indianapolis, IN 46206 -1002
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5128110 M84288 Water testing 200.00
Total 200.00
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
Voucher No. Warrant No.
Allowed 20
00351367 Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
108 Monon. Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1093 M84288 4350100 200.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
17 -Jun 2010
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund