HomeMy WebLinkAbout195220 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 00353237 Page 1 of 1
ONE CIVIC SQUARE TESTAMERICA INC
PO BOX 122314 DEPT 2314 CHECK AMOUNT: $88.20
CARMEL, INDIANA 46032 DALLAS TX 75312 -2314 CHECK NUMBER: 195220
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21010484 88.20 OTHER EXPENSES
s
AL-
THE LEADER:3N TES'T[NG
4738 Gateway Circle Dayton, OH 45440 800 -572 -9839 Fax:937 -499 -1249
Invoice Number: 21010484
_.Invoice To:______.--
Remit Payment To:
Carmel W WTP 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 Date: 11/11/I0 Client Teresa Lewis
Lab Contact: Horton Fan Quarterly Project: Q Y /Horton Fan
Shelly A. Howard Y
PO Number: TARA (S- 10403)
Shel ly.Howard @testamericainc.com
Samples Received: 10/29/10 Samples Reported: 1l /11110
Workorder: DTJ1290 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 $12.00 $12.00
1 Copper Total EPA 200.7 Water NonPotable NA None $12.00 $12.00
1 Lead Total EPA 200 -7 Water- NonPotable NA None $12.00 $12.00
1 Nickel Total EPA 200.7 Water NonPotable NA None $12.00 $12.00
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% $4.20
Invoice Total: $88.20
Any applicable rush charges are based on the actual tum- around -time met.
Prices shown include all applicable discounts.Tes tAmeric a's Standard Terms Conditions (Net 30 Days) apply to all
work performed and invoiced unless superseded by a specific executed contract vehicle. Invoice: 21010484
Page 1 of I
VOUCHER 107169 WARRANT ALLOWED
00353237 IN SUM OF
TESTAMERICA INC
Ica Fd Q o x 12.a�- y
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
21010484 01- 7352 -05 $88.20
Voucher Total $88.20
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
00353237
TESTAMERICA INC Purchase Order No.
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 2/22/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2011 21010484 $88.20
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