191356 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
O CHECK AMOUNT: $260.00
CARMEL, INDIANA 46032 Po aox looz
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 191356
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 M85254 260.00 OTHER CONT SERVICES
0SHERRY TESTING TODAY, PROTECTING TOMORROW
LABORATORIES WWW.SHERRYLABS.COM
Sherry Laboratories DATE: 30- Sep -10
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TEL 765- 378 -4103 FAX: 765- 378 -4109
Invoice TO: Carmel Clay Parks and Recreation
Monon Center Invoice Number: M 85254
1411 E 116th Street a
Carmel, IN 46032 Customer Number: 13185
Attn: Paula Schlemmer O CT Q 2010 Payment Due Date: 30- Oct -10
Phone: (317) 573 -5239 QIIj Payment Terms: Net 30 Days
L b c
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10080932 PO Number: Date Received: 8/31/2010 Pool Samples
Pool Aqueous 7 1 $20.00 $140.00
Test TOTAL: $140.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $140.00
WorkOrder: M10081074 PO Number: Date Received: 9/7/2010 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M10090075 PO Number: Date Received: 9/14/2010 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
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1
SHERRY TESTING TODAY, PROTECTING TOMORROW
LABORATORIES WWW.SHERRYLABS.COM
Invoice TO: Carmel Clay Parks and Recreation iv
Monon Center D Invoice Number: M 85254
1411 E 116th Street
Carmel !N 46032 OCT 0 2010 Customer Number: 13185
Attn: Paula Schlemmer Payment Due Date: 30- Oct -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10090200 PO Number: Date Received: 9/21/2010 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
Please Refer to Invoice
Number on Remittance Invoice TOTAL: $260.00
Purchase
Description Poo L W AT>✓R. Tesp 1.1C -j
P.O. 3 9 )a P 00
G.L. y eo O
Budget
Line Descr CQ) SVC5.
Purchaser Date
Approval Date o l r
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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
9!30110 IVI85254 Pool water testin 23992 260.00
Total 260.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20 J
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
00351367 Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
260.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 M85254 4350900 260.00 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
21 -Oct 2010
Signature
260.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund