HomeMy WebLinkAbout187361 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 363758 Page 1 of 1
0 ONE CIVIC SQUARE LABSOURCE
CARMEL INDIANA 46032 97400 EAGLE WAY CHECK AMOUNT: $459.27
CHICAGO IL 60678 -9740
CHECK NUMBER: 187361
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 799989 459.27 OTHER EXPENSES
Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, IL 60678 -9740 La PH: 800 545 -8823 FAX: 630 343 -1701 FEIN #36 3631684
Invoice 799989
Date 0611512010
PO# S12152
Bill To Ship To
City of Carmel City of Carmel
Tara Washington Tara Washington
Wastewater Lab Wastewater Lab
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
-Customer Ship Via -=0es `'Terms..
CAR571 UPS Ground Commercial Origin NET 30 DAYS
Purchase Order Salesperson Order Date Sales Order.#
S12152 AF 05/11/2010 680043
Line Quantity UOM Catalog Description Price Extended
F-2 Ship BO
1 1 0 EA 1 3- 302 -32 DO PRO MAINT KIT $115.00 $115.00
i 2 2 0 EA 13-641 -883 AMMONIA PH ADJUSTING ISA $61.41 $122.82
3 1 0 EA 13 -642 -545 PHIATC EPDXY GEL TRIOBE $181.00 __$181.00
Subtotal $418.82
Shipping Handling $40.45
Invoice Total $459.27
Page 1 of 1
VOUCHER 10575 WARRANT ALLOWED
363758 IN SUM OF
LABSOURCE
1186 ARBOR DRIVE
ROMEOVILLE, IL 60446
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
799989 01- 7202 -05 $418.82
799989 01- 7202 -05 $40.45
c� a�
P
Voucher Total $459.27
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev M, 1 5)
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
363758
LABSOURCE Purchase Order No.
1186 ARBOR DRIVE Terms
ROMEOVILLE, IL 60446 Due Date 7/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2010 799989 $459.27
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