HomeMy WebLinkAbout191766 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 355130 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES CHECK AMOUNT: $142.77
CARMEL, INDIANA 46032 P O BOX 8
BIRNAMWOOD WI 54414 CHECK NUMBER: 191766
CHECK DATE: 11/10/2010
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 277504 142.77 OTHER EXPENSES
Nrth Central Laboratories
..a 1 INVOICE NO.
eince 1985 ttt 7
Lab S
'T r eLA1B S INVOICE DATE
1.800.648.7836 10/18/2010
Fax: (715) 449.2454 YOUR ACCOUNT NO.
www.nclabs.com FED ID: 39 1538387 7804
Email: nc labs @nclabs.com ryO YOUR ORDER NO.
Verbal -Dave Dye
TERMS
Net 30
S CITY OF CARMEL S CARMEL WASTEWATER TRT PLANT
O 9609 HAZEL DELL PARKWAY H 9609 HAZEL DELL PARKWAY
L I
D INDIANAPOLIS IN 46280 p INDIANAPOLIS, IN 46280
T T
O O
QUANTITY DESCRIPTION UNIT PRICE EXTENDED PRICE
1 500 g N -50, Nitrification Inhibitor 133.65 133.65
Delivery Charges 9.12
SUB -TOTAL 142.77
WI Sales Tax- Exemot .00
TOTAL 142.77
Thank you for your order!!
PLEASE PAY FROM THIS INVOICE
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood, WI 54414
VOUCHER 106488 WARRANT ALLOWED
355130 IN SUM OF
NORTH CENTRAL LABORATORIES
PO BOX 8
BIRNAMWOOD, WI 54414
Carmel Wastewater Utility-
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
277504 01- 7202 -05 $142.77
Voucher Total $142.77
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI 54414 Due Date 11/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/1/2010 277504 $142.77
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