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189087 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 080650 Page 1 of 1 ONE CIVIC SQUARE ESG LABORATORIES h CHECK AMOUNT: $600.00 CARMEL, INDIANA 46032 5927 W 71ST STREET INDIANAPOLIS IN 46278 CHECK NUMBER: 189087 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09350 1000008836 600.00 TESTING INVOICE Invoice 10008836 Date Invoiced: 28- Jul -10 M Carmel Water Distribution I Carmel Water Distribution 3450 West 131 st Street 3450 West 131 st Street Westfield, Indiana 46074 Westfield, Indiana 46074 Attn: Jack Spears Attn: Jack. Spears b t- l Received: 7/19/2010 Thank you for your patronage. We look forward to working with Reported: you again in the future. Project Name: 2010 Lead Copper L ha Sample ID Client Proiect 1 10008836 -001 131 4340 Idlewild Lane 5229024 10008836 -002 182 10514 Shafer Circle 5229024 10008836 -003 232 3750 Power Drive 5229024 10008836 -004 70 4310 Breckenridge Circle 5229024 10008836 -005 81 10415 Beckenridge Dr. 5229024 10008836 -006 167 10551 Williamson Parkway 5229024 10008836 -007 130 4338 Idlewild Lane 5229024 10008836 -008 186 10554 Shafer Circle 5229024 10008835 -009 114 4418 Bluecreek Drive 5229024 1 10008836 -010 396 4414 Woodhaven Drive 5229024 10008836 -011 103 10570 Breckenridge Drive 5229024 10008836 -012 421 Lakeshore Dr. East 5229024 10008836 -013 107 10596 Breckenridge Drive 5229024 10008836 -014 253 10373 Power Drive 5229024 f 10008835 -015 129 4337 Idlewood Lane 6229024 j 10008836 -016 431 10185 Lakeshore Drive 5229024 10008836 -017 337 433 Portsmouth Court 5229024 10008836 -018 69 4305, Breckenridge Circle 5229024 10008836 -019 298 13074 Brighton Ave. 5229024 it 10008836 -020 333 12964 Portsmouth Drive 5229024 10008836 -021 338 12984 Portsmouth Drive 5229024 10008836 -022 383 13059 Southhampton Court 5229024 10008836 -023 102 10565 Beckenridge Drive 5229024 10008836 -024 420 9957 Lakeshore Drive 5229024 10008836 -025 365 493 Leeds Circle 5229024 10008836 -026 334 12967 Portsmouth Drive 5229024 10008836 -027 277 12931 Brighton Ave. 5229024 i 10008836 -028 168 3704 Shafer Circle 5229024 10008836 -029 193 3790 Shafer Court 5229024 10008836 -030 40 4633 Woodhaven Drive 5229024 Test-Na i me Unit-Price P Batch 10008836 Page 1 of 2 ESG Laboratories 5927 WEST 71 ST STREET PHONE (317) 290 -1471 INDIANAPOLIS, INDIANA 46278 FAX (317) 290 -1670 T:est Nii Unit Price MY Total Price CU- 2007 -DW Copper in Drinking Water, ICP -AES $7.00 30 $210.00 PB- 2009 -DW Lead in Drinking Water, GFAA $1 3.00 30 $390.00 Analysis Charges $600.00 SubTotal: $600.00 Sample Fees $0.00 Other Fees $0.00 TOTAL AMOUNT DUE: $600.04 1 i Batch 10008836 Page 2 of 2 ESG Laboratories 5927 WEST 71ST STREET PHONE (317) 290 -1471 INDIANAPOLIS, INDIANA 46278 FAX (317) 290 -1670 VOUCHER 102388 WARRANT ALLOWED 80.650 IN SUM OF ESG LABORATORIES e lk 5933 W 71ST STREET INDIANAPOLIS, IN 46278 0 a R Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code Y 100008836 01- 6350 -03 $600.00 Voucher Total $600.00 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 80650 ESG LABORATORIES Purchase Order No. 5933 W 71ST STREET Terms INDIANAPOLIS, IN 46278 Due Date 8/9/2010 Invoice invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/2010 100008836 $600.00 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 'f C L—. 4 k— y �•Lc x� Date Officer