HomeMy WebLinkAbout195106 03/02/2011 °'ems CITY OF CARMEL, INDIANA VENDOR: 363758 Page 1 of 1
ONE CIVIC SQUARE LABSOURCE
s. CARMEL, INDIANA 46032 97400 EAGLE WAY CHECK AMOUNT: $839.72
*ig CHICAGO IL 60678 -9740
CHECK NUMBER: 195106
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 817742 169.50 OTHER EXPENSES
651 5023990 818006 495.90 OTHER EXPENSES
651 5023990 818211 174.32 OTHER EXPENSES
Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, IL 60678 -9740 LabSo—
PH: 800- 545 -8823 FAX: 630 343 -1701 FEIN #36 3631684 urce
Invoice $17742
Date 01/31/2011
P0# S12382
Bill To Ship To
City of Carmel City of Carmel
Tara Washington Tara Washington
Wastewater Lab Wastewater Lab
6909 Hazel Dell Pkwy 6909 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 45280
Customer Ship Via FOB Terms
CAR571 UPS Ground Commercial Destination NET 30 DAYS
Purchase Order Salesperson Order Date Sales`Order#
S12382 DC 01/19/2011 696022
Quantity
Line Ord Shi B0 UOM Catalog Description Price Extended
1 1 1 0 CS 11- 890 -8D S WRAP 124 X24IN 5 /CS $169.50 $169.50
2 10 0 10 PK AP4004700 G LASS FI BE R F 47MM 100PK $3 9.6 9 $0.0
3 1 0 1 EA 13 -641 928 INTERNAL FI S 0.1M 50 $51.50 $0.00
4 2 0 2 EA 13- 64 1 -883 AMMONIA PH ADJUSTING ISA $61 Al $0.00
1 5 1 0 1 PK 13- 297 -200 POLYSEED CAPSULES 50 PK $99.00 $0.00
Subtotal $169.50
Shipping Handling $0.00
Invoice Total $169.50
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Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, IL 60678 -9740 LabSource
PH: 800 545 -8823 FAX: 630 343 -1701 FEIN #36 3631684
Invoice 818006
Date 01/31/2011
PO# S12382
Bill To Ship To
City of Carmel City of Carmel
Tara Washington Tara Washington
Wastewater Lab Wastewater Lab
6909 Hazel Dell Pkwy 6909 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Customer Ship Via FOB Terms
CAR571 UPS Ground Commercial Destination NET 30 DAYS
Purchase Order Salesperson Order Date Sales Order
S12382 DC 01/19/2011 696022
Line Ord Quantity BO UOM Catalog Description Price Extended
Ship 1 10 10 0 PK AP400 GLA FIB F ILTER 47M 100P $39.69 $396.90
2 1 0 1 EA 13 641 -928 INTERNAL FILL_S 0.1 M 50ML $51.50 $0.00
3 2 0 2 EA 13 6 41 -883 AMMONIA PH ADJUSTING ISA $61.41 $0.00
4 1 1 0 PK 13- 297 -200 POLYSEED CAPSULES 50 /PK $99.00 $99.00
15 Subtotal $495.90
Shipping Handling $0 -00
Invoice Total $495.90
Page 1 of 1
Remit To
LABSOURCE, INC
97400 Eagle Way
Chicago, IL 60678 -9740 LabSoiarce
PH: 800 545 -8823 FAX: 630 343 -1701 FEIN #36 3631684
Invoice 818211
Date 01/31/2011
F PO# S12382
Bill To Ship To
City of Carmel City of Carmel
Tara Washington Tara Washington
Wastewater Lab Wastewater Lab
6909 Hazel Dell Pkwy 6909 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Customer Ship Via FOB Terms_
CAR571 UPS Ground Commercial Destination NET 30 DAYS
Purchase Order Salesperson Order Date Sales Order
S12382 DC 01/19/2011 696022
Line Quantity UOM Catalog Description Price Extended
Ord Ship BO
1 1 1 0 EA 13- 641 -9 INTERNAL FIL SOLN 0.1 50ML 51.50 $51.50
I 2 2 2 0 EA 13- 641 -883 AMMONIA PH ADJUSTING ISA $61.41 $122.82
Pkg 1- 1Z22E4360340905681
Subtotal $174.32
Shipping Handling $0.00
Invoice Total $174.32
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VOUCHER 107188 WARRANT ALLOWED
363758 IN SUM OF
LABSOURCE
Q- 7udo A.IP
46
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
818211 01- 7202 -05 $174.32
I Boo 6
(69.5D
Voucher Total
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
363758
LABSOURCE Purchase Order No.
1186 ARBOR DRIVE Terms
ROMEOVILLE, IL 60446 Due Date 2/22/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/21011 818211 $174.32
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
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Date Officer