189768 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $1,455.00
s�,ra CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 966 CHECK NUMBER: 189768
MADISON IN 47250
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20105321 1,455.00 6350.03
nvironmental
Invoice 0 Laboratones i nc
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice ND.: 20105321
Accounts Payable Invoice Date: 08/30/2010
CARMEL UTILITIES Order No.: 2010080884
3450 W. 131st STREET PO No.:
CARMEL, IN 46074
Item /Test nr-k ,�anr�+., U ti @ost= e T otal
UCMR 527 529 3 $485.00 $1,455.00
(Fold and Cut Here) Invoice Total: $1,455.00
VOUCHER 102689 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABO P IES, II\
635 GREEN RD.
P.O. BOX 968 N
MADISO IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20105321 01- 6350 -03 $1,455.00
Voucher Total $1,455.00
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 9/7/2010
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/7/2010 20105321 $1,455.00
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 0 i r