189766 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 361943 Page 1 of 1
ONE CIVIC SQUARE ELECTRO LAB SERVICES
s`o CARMEL, INDIANA 46032 517 N FULTON AVENUE CHECK AMOUNT: $103.21
a EVANSVILLE IN 47719 CHECK NUMBER: 189766
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
601 5023990 1008203 103.21 MATERIALS SUPPLIES
r
INVOICE
a�CRfioITEOI
ISO IEC 37025
Certificate 1607.01
electro -lab services, inc.
1 1 .0. SOX 6301 r- WANSVILLP, INDIANA 47719 VFIONIS (812) 423 -5211 FAX (812) 421 -3689
SOLD TO SHIP TO
Carmel Water
3450 131st Street
Carmel, IN 46074 Attn; Brian Tolan
Attn; Kerri Loveall Well 10 Tolan
CUSTOMER ORDER NUMBER INVOICE TERMS
W10-081110 -BT 1 1008203 NET 30 DAYS
SHIP DATE SHIPPED VIA INVOICE DATE F.O.B.
8/20/10 UPS 8/20/2010 EVANSVILLE, :INDIANA
Quantity Quantity Back
Ordered Shipped .Ordered Description Unit Price Total
1 1. :.Crompton 016 -156A- SEZH -C6 96.12" .96.12
SUBTOTAL S 96.12
REMIT PAYMENT TO: TAX RATE
ELEC RO -LAB SERVICES, INC. SALES TAX:
P.O. BOX 6301: SHIPPING. HANDLING 7:09
._.1.11
EVt1NSVILLE, IN 47719 -0301 TOTAL DUE 103.21
i 'r is
VOUCHER 102699 WARRANT ALLOWED
361943 IN SUM OF
ELECTRO LAB SERVICES
51.7 N FULTON AVE
EV'ANSVILLE, IN 47719 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1008203 01- 6200 -02 $103.21
Voucher Total $103.21
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
361943
ELECTRO LAB SERVICES Purchase Order No.
517 N FULTON AVE Terms
EVANSVILLE, IN 47719 Due Date 9/7/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/2010 1008203 $103.21
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 AXICY