HomeMy WebLinkAbout196122 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 00353237 Page 1 of 1
ONE CIVIC SQUARE TESTAMERICA INC CHECK AMOUNT: $119.70
CARMEL, INDIANA 46032 PO BOX 122314 DEPT 2314
DALLAS TX 75312 -2314 CHECK NUMBER: 196122
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
651 5023990 21013806 119.70 CONT SVS- TESTING -S PL
TestAmerica INVOICE
THE LEADER IN ENVIRONMENTAL TESTING
4738 Gateway Circle Dayton, 01-145440 800 572 -9839 Fax:937- 499 -1249
Invoice Number: 21013806
Invoice To:
Remit Payment To:
Cannel WWTP TestAmerica Laboratories, Inc.
Dave Dye Dept 2314
9609 Hazel Dell Pkwy P.O. Box 122314
Indianapolis, IN 46280 Dallas, TX 75312 -2314
TestAmerica EIN: 23- 2919996
1406871
For Billing Inquiries please contact: 800 -572 -9839
Client: Carmel WWTP Terms: See Below
Invoice Date: 02/28/1) Client Contact: Teresa Lewis
Lab Contact:
Shelly A. Howard Project: Horton Fan Quarterly Analysis Horton Inc
Shelly .Howard @testamericamc.com PO Number: S -10403
Samples Received: 02/18/11 Samples Reported: 02/28/11
workorder: DUB0738 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 Cyanide, EPA 335.4 Water NonPotable NA None $30.00 $30.00
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 pH Client Supplied Water NonPotable NA None $0.00 $0.00
I 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% $5.70
Invoice Total: $119.70
Any applicable rush charges are based on the actual mm- around -time met.
Prices shown include all applicable discounts.TestAmerica's Standard Terms Conditions (Net 30 Days) apply to all
Invoice: 21013806
work performed and invoiced unless superseded by a specific executed contract vehicle.
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VOUCHER 107379 WARRANT ALLOWED
00353237 IN SUM OF
TESTAMERICA INC
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p�lf�s i k 7134
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
21013806 01- 7352 -05 $119 -70
Voucher Total $119.70
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 3/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/23/2011 21013806 $119.70
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer