The URL can be used to link to this page

Home My WebLink About191292 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 e ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $2,313.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 'y off INDIANAPOLIS IN 46204 CHECK NUMBER: 191292 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 217443 55.00 TESTING FEES 1201 4358800 217789 1,158.00 TESTING FEES 1201 4358800 217876 1,100.00 TESTING FEES 3(idwest Toxicofogy Invo ServicesInc. OD x DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/13/2010 217443 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 Occ. Health 10/11/10 Jonathan Alverson D OC.T 25 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 wehsite at www.nmidwesttoxicology comr. -4lufwest 7oxicofogy Invoi 09%� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/18/2010 217789 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 KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT DOT Test OS 8 DOT Drug Test 55.00 440.00 Collected Onsite 10/13/10 Randy Massingill Utilities James Hobbs Street Micah Beck Utilities Michael Henricks Street Travis Tabak Street Jeffery Stewart Street David Loveall Street Mark Carter Street DOT Alcohol OS 6 DOT Breath Alcohol Test 28.00 168.00 Collected Onsite 10/13/10 Randy Massingill Utilities Michael Henricks Street Travis Tabak Street Jeffery Stewart Street David Loveall Street Mark Carter Street D z T OCT 25 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 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.midwesttoxicology.cont. Pagel 'Midwest ToXicofogy Invoice Services, Inc DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/18/2010 217789 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss #II 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN-46032 Still Mail results to Jim KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test OS 10 Non -DOT Drug Test 55.00 550.00 Collected Onsite 10/13/10 Travis Tilson Police Larry Collins Police Donald Schoeff Jr. Police Jean Junker Fire Jon Osborn Utilities Dwight Frost Police Michael Dixon Police Teresa Anderson Police Timothy Zellers Police Steven Frye Fire 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 $1 ,158.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or far us at 317 262 -2222. Be sure to visit our website at wsvw.midwesttoxicologi co►n. Page 2 Widwest ToCicology Invo 04 DATE INVOICE 10/19/2010 217876 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 #II 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT DOT Test OS 2 DOT Drug Test 55.00 110.00 Collected Onsite 10/14/10 Aaron Hoover Utilities 10/15/10 Joseph Faucett Utilities ND Drug Test OS 18 Non -DOT Drug Test 55.00 990.00 Collected Onsite 10/14/10 James Toney Fire Kip Benbow Fire Jason Stewart Utilities Jordan Kleinsmith Utilities Robbie Kinkead Utilities Sarah Harris Police James Semester Police Bruce Gipson Fire Crystal Hughes No Location listed 10/15/10 Craig Phillips Fire D Q Renee Butts Fire Troy Kelsheimer- Fire OCT 2 5 2it� James Mitchell Fire Brian Smith CCCC Teresa Lewis Utilities Sally Lafollette Fire By William Gilbert- Police Donald Simpson Utilities 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 $1,100.00 Make Checks Payable To: MIDWEST TOXICOLOGN' 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.niidwesttoxicology.coni. VOUCHER NO. WARRANT NO. ALLOWED 20 Midwest Toxicology o IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $2,313.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1201 217443 43- 588.00 $55.00 1 hereby certify that the attached invoice(s), or 1201 217789 43- 588.00 $1,158.00 bill(s) is (are) true and correct and that the 1201 I 217876 43- 588.00 $1,100.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, October 25, 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)) 10/13/10 217443 $55.00 10/18/10 217789 $1,158.00 10/19/10 217876 I $1,100.00 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