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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 I Y C V- to Page 1 of 1 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 �c Page 1 of 1 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 �,zs rr (ter ,�a�' ✓k..., Date Officer