188055 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CHECK AMOUNT: $640.00
CARMEL, INDIANA 46032 Po aox looz
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 188055
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 M84485 640.00 BUILDING REPAIRS MA
SHERRY TESTING TODAY, PROTECTING TOMORROW
LAB O RATO R I ES WWW.SHERRYLABS.COM
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Number: M 84485
Carmel, IN 46032 Customer Number: 13185
Attn: Carrie Keaveney Payment Due Date: 28- Jul -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10060743 PO Number: Date Received: 6/22/2010 Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $160.00
Please Refer to Invoice
Number on Remittance Invoice TOTAL: $640.00
JUL, 2010 u
Purchase JJn" 10
Description
P.O.
G.L.
Budget VCL Y�_ 6 ,Vi t" I' ko-i
Line Desc
Purchaser Date
Approval Date_` o
2 of 2
O SCI ERRY TESTING TODAY, PROTECTING TOMORROW
LABORATORIES WWW.SH ERRYLABS.COM
Sherry Laboratories DATE: 28- Jun
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TELI 765- 378 -4103 FAX: 765- 378 -4109
Invoice TO: The Monon Center aw 1
1235 Central Park Drive East t _1 Invoice Number: M 84485
Carmel, IN 46032 b JON 3 6 Customer Number: 13185
Attn: Carrie Keaveney Payment Due Date: 28- Jul -10
Phone: (317) 573 -5239
BY Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10060155 PO Number: Date Received: 6/1/2010 Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Mise Comments: Misc Charges: $0.00
Order TOTAL: $160.00
WorkOrder: M10060366 PO Number: Date Received: 6/8/2010 Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $160.00
WorkOrder: M10060558 PO Number: Date Received: 6/15/2010 Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $160.00
I 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
Date Due
P.O. Box 1002
Indianapolis, IN 46206 -1002
Invoice Invoice Description
Number (or note attached invoice(s) or bill(s)) PO Amount
Date 640.00
6128110 M84485 Water testin
22600
Total 640.00
1 hereby certify that the attached invoice(s), or biii(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
640.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1093 M84485 4350100 640.00 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
15 -Jul 2010
Signature
640.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund