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HomeMy WebLinkAbout191387 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00353237 Page 1 of 1 ONE CIVIC SQUARE TESTAMERICA INC CARMEL, INDIANA 46032 PO BOX 122314 DEPT 2314 CHECK AMOUNT: $119.74 ;r Pon `o DALLAS TX 75312 -2314 CHECK NUMBER: 191387 CHECK DATE: 10127/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION 651 5023990 21009232 119.70 OTHER ACCT RECEIVABLE f TestAmerica INVOICE THE LEADER IN ENVIRONMENTAL TESTING 4738 Gateway Circle Dayton, OH 45440 800 -572 -9839 Fax:937499 -1249 Invoice To: Invoice Number: 21009232 Remit Payment To: Carmel WWTP TestAmerica Laboratories, Inc. Dave Dye Dept 2314 9609 Hazel Dell Pkwy P.O. Box 122314 Indianapolis, IN 46280 Dallas, TX 75312 -2314 1406871 TestAmerica EIN: 23- 2919996 For Billing Inquiries please contact: 800- 572 -9839 Client: Carmel WWTP Terms: See Below invoice Elute: 10104i10 Client Teresa Lewis Lab Contact: Shelly A. Howard Project: Horton Fan Quarterly Analysis Horton Fan Shelly.Howard@testamericainc.com PO Number: S -10403 Samples Received: 09/23/10 Samples Reported: 10/04/10 Workorder: DTI0919 Rush Rush Unit Extended Qty Analysis /Description Matrix TAT Charge Cost Cost 1 Cadmium Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 1 Chromium Total EPA 200.7 Water NonPotable NA None $1100 $12.00 1 Copper Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 1 Cyanide, EPA 335.4 Water NonPotable NA None $30.00 $30.00 1 Lead Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 l Nickel Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 1 pH Client Supplied Water NonPotable NA None $0.00 $0.00 1 Silver Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 1 Zinc Total EPA 200.7 Water NonPotable NA None $12.00 $12.00 Additional Items 1 Environmental Management Fee 5.00% $5.70 Invoice Total: $119.70 Any applicable rush charges are based on the actual turn around -time met. Prices shown include all applicable discounts.TestAmerica's Standard Terms Conditions (Net 30 Days) apply to all work performed and invoiced unless superseded by a specific executed contract vehicle. Invoice: 21009232 Page 1 of I VOUCHER 106427 WARRANT ALLOWED 00353237 IN SUM OF TESTAMERICA INC POBOX 2 /223/x1 PePf;23f`/ G90 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code C- 00 21009232 01- 7352 -05- $119.70 Voucher Total $119.70 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) c 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 00353237 TESTAMERICA INC Purchase Order No. PO BOX 99742 Terms Chicago, IL 60690 Due Date 10/19/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/19/2011 21009232 $119.70 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 Officer