191831 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO Box 1002 CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46206 -1002
CHECK NUMBER: 191831
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 M85400 200.00 OTHER CONT SERVICES
Q SCI ERR Y TESTING TODAY, PROTECTING TOMORROW
LABORATORIES WWW.SHERRYLABS.COM
Invoice TO: Carmel Clay Parks and Recreation
Monon Center Invoice Number: M 85400
1411 E 116th Street
Carmel, IN 46032 Customer Number: 13185
Attn: Paula Schlemmer Payment Due Date: 28- Nov -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10100270 PO Number: Date Received: 10/19/2010 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: M10100362 PO Number: Date Received: 10/26/2010 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: $200
Purchase
Description
P.O. _l P or F M f
G.L L cj O NOV 0 2 2010
Budget
Line Descr
Purch aser Date BY:
Approval ._r ate �C l U
2 of 2
G S E RR 1 TESTING TODAY, PROTECTING TOMORROW
L A B O R A T O R I E S WWW.SHERRYLABS.COM
Sherry Laboratories DATE: 29- Oct
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002
Attn:
TEL: 765- 378 -4103 FAX: 765- 378 -4109
a
Invoice TO: Carmel Clay Parks and Recreation
Monon Center Invoice Number: M 85400
1411 E 116th Street
Carmel, IN 46032 Customer Number: 13185
Attn: Paula Schlemmer Payment Due Date: 28- Nov -10
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M10090315 PO Number: Date Received: 9/28/2010 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
WorkOrdcr: M101.00060 PO Number: Date Received: 10 /5/2010 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: 540.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M10100166 PO Number: Date Received: 10/12/2010 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Mise Charges: $0.00
1� 9 Order TOTAL: $40.00
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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 Date Due
P.O. Box 1002
Indianapolis, IN 46206 -1002
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)}
PO
200.00
10129110 M85400 Pool water testin
Total 200.00
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
Voucher No. Warrant No.
Allowed 20
00351367 Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1094 M85400 4350900 200.00 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
4 -Nov 2010
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund