188994 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $640.00
CARMEL, INDIANA 46032 PO Box 1002
INDIANAPOLIS IN 46206 -1002
CHECK NUMBER: 188994
CHECK DATE: 8/1812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1094 4238900 M84686 640.00 OTHER MAINT SUPPLIES
Q SH ri RRV TESTING TODAY, PROTECTING TOMORROW
L A B O R A T O R I E S WWW.SHERRYLABS.COM
'Sherry Laboratories D 30- Jul
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TEL: 765 -378 -4103 FAX: 765- 378 -4109
Invoice TO: The Monon Center
1235 Central Park Drive East Invoice Number: M 84686
Carmel, IN 46032 Customer Number: 13I85
Attw Carrie Keaveney Payment Due Date: 29- Aug -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrdcr: M10060934 PO Number: Date Received: 6/29/2010 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: M10070142 PO Number: Date Received: 7/6/2010 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: M10070334 PO Number: Date Received: 7/13/2010 Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Purdhoss
p�crlptla�tl �ao f wa{ �r S -jtw Te:SfS= Misc Charges: $0.00
1P P Order TOTAL: $160.00
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®,SH TESTING TODAY, PROTECTING TOMORROW
LABORATO WWW.SHERRYLASS.COM
Invoice To: The Monon Center
1235 Central Park Drive East Invoice Number: M 84686
Carmel, IN 46032 Customer Number: 13185
Attn: Carrie Keaveney Payment Due Date: 29- Aug -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10070528 PO Number: Date Received: 7/20/2010 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
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AUG 0 4 2010
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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
7130110 M84686 Pool water sample test 22600 640.00
Total 640.00
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
640.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 M84686 4238900 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
12 -Aug 2010
Signature
640.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I