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
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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work performed and invoiced unless superseded by a specific executed contract vehicle.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