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Home My WebLink About189912 09/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $220.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 189912 CHECK DATE: 9/1412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4340700 212251 55.00 MEDICAL FEES 1201 4358800 213922 55.00 TESTING FEES 1201 4358800 214226 55.00 TESTING FEES 1201 4358800 214335 55.00 TESTING FEES Widwest 7aZicoCoBy In voic e Inc. DATE INVOICE Services, 8/11/2010 212251 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: Carmel Parks and Recreation Attn: Lynn Russell 2 Civic Square Carmel, IN 46032 i CLZ CONTROL P.O. NUMBER JOB SITE TERMS FACILITY Due on receipt ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center 07/14/10 Kurtis Baumgartner 5454 SEA' 0 7 2010 BY: A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Pasvable "I'o: N'II!)N'LS'I' TOXICOLOGY SE:RYICES, INC. For questions regru•ding this invoice, cordnct us tit 317- 262 -2200 or frtx us at 317- 262 -2222. Be N111 to visit our wehsite tit wjvw.midwesttoxicologp.cant. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized ra rate per show, w kind of s uni ts, price er o n t de dates service rendered, by whom, rates per day, number of hour N e Payee Purchase Order No, Terms 353513 Midwest Toxicology Services, Inc. 603 East Washington Street, Ste 200 Indianapolis, IN 46204 Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 55.00 8111110 212251 Drug tests Total 55.00 voice(s), or bili(s) is (are) true and correct and I have audited same In accordance I hereby certify that the attached in with IC 5-11-10-1.6 20 Clerk- Treasurer Voucher No. Warrant No, 1 5'3T3 Midwest Toxicology Services, Inc. Allowed 20 603 East Washington Street, Ste 200 03 Indianapolis, IN 46204 In Sum of 55.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1091 212251 4340700 55.00 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 9 -Sep 2010 Signature 55.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Widwest ?oXicofogy Invo �d Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 9/7/2010 214335 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim CLZ CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occupational Health Carmel 09/03/10 Andrew Boyles D Q S E P 13 2010 BY A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317- 262 -2222. Be sure to visit our website at www. m idwesttoxicology. cam. 31idwest Toxicorogy Invo Q' Servues, Inc. DATE INVOICE 9/3/2010 214226 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim CI CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health 09/01/10 Gary Dufek D Q SEP 13 2010 By A finance charge will be assessed on alt invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact as at 317 -262 -2200 or fax us at 317- 262 -2222. Be sure to visit our website at wmv midwesttoxicalogiwom. Midwest Toxicology Invoi DATE INVOICE 9/1/2010 213922 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss# I 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim NM CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel 8130110 Bryan Mason S E P 13 2010 By A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax us at 317 261 -2222. Be sure to visit our wehsite at www.midwesttoxicology.com. VOUCHER NO. WARRANT NO. ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $165.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1201 I 213922 I 43- 588.00 I $55.00 I hereby certify that the attached invoice(s), or 1201 214226 43- 588.00 $55.00 bill(s) is (are) true and correct and that the 1201 I 214335 I 43- 588.001 $55.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, September 13, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/01/10 213922 $55.00 09/03/10 I 214226 I I $55.00 09/07/10 214335 i $55.00 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