HomeMy WebLinkAbout196872 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1
0 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $2,343.00
?a CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200
INDIANAPOLIS IN 46204 CHECK NUMBER: 196872
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1201 4358800 231829 55.00 TESTING FEES
1201 4358800 231871 55.00 TESTING FEES
1201 4358800 232074 2,013.00 TESTING FEES
1201 4358800 232350 110.00 TESTING FEES
1201 4358800 232466 110.00 TESTING FEES
Midwest Toxicology Invoice
o a w� DATE INVOICE
603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/12/2011 231829
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Speibring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
NM
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00
Collected at Community Occ. Health Center Carmel
3130111
Robert VanVoorst
�D
APR 2 5 Z011
By
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total $55.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317 -262 -2222.
Be sure to visit our website at www.ntidwesttoxicolnay.com.
94idwest 7oXicofogy Invo
�Q, Services, Inc.
DATE INVOICE
F4/14/2011 232074
603 East Washington Street, Suite 200, Indianapolis, IN 46204
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Spelbring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
KK
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
DOT Test OS 8 DOT Drug Test 55.00 440.00
Collected Onsite
04/05/11
w Parks Pifer Street
David Loveall Street
v Nathaniel Morris Street
colt Townsend Street
Timothy Coffey Street
Cameron Mason Street
Brad Henderson Street
Jeffery Stewart Street Ey DOT Alcohol OS 5 DOT Breath Alcohol Test 28.00 140.00
Collected Onsite 04/05/11
arks Pifer Street
David Loveall Street
Timothy Coffey Street
Cameron Mason Street
Brad Henderson Street
Fuel Surcharge 1 Fuel Surcharge 04/05/11 10.00 10.00
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317 261 -2200 or fax us at 317- 262 -2222.
Be sure to visit our website at rvwH
Page 1
9Vlidwest 7oXicoCagy
Invo
0 DATE INVOICE
1603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/14/201 1 232074
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Spel'bring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
KK
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
ND Drug Test OS 7 Non -DOT Drug Test 55.00 385.00
Collected Onsite
04/05/11
ustin Schooler Fire
Brian Hutchison Fire
Julie Cavanaugh Police
ari White Police
Gregory Miller Police
Amy Stein Police
vl- uann Mates CPD
ND Drug Test OS 8 Non -DOT Drug Test 55.00 440.00
Collected Onsite
04/06/11
v�K eith Smith Fire
Kay Wyler CCCC
alph Gruwell Utilities
Robert Harris Police
Dawn Pattyn Fire
aniel Matthews Police
ichael Miller Police
Timothy Green Police
Fuel Surcharge 1 Fuel Surcharge 04/06/11 10.00 10.00
DOT Test OS 4 DOT Drug Test 55.00 220.00
Collected Onsite
04/07111
arry Eidson Utilities
Joseph Faucett Utilities
David Loveall Street
J oseph Muir Street
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total
Make Checks Payable To: MIDWEST TOaICOLOCY SERVICES, INC.
For questions regarding this invoice, contact us at 317 -262 -2200 or fax us at 317 -262 -2222.
Be sure to visit our website at iwww.nzidwesttoxicologv.coni.
Page 2
Mid -west 7oxicofogy Invo
0 F DATE INVOICE
/14/2011 232074
603 East Washington Street, Suite 200, Indianapolis, IN 46204
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Spelbring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
KK
CONTROL P.Q. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
DOT Alcohol OS 1 DOT Breath Alcohol Test 28.00 28.00
Collected Onsite
04/07/11
Joseph Muir -Street
Fuel Surcharge 1 Fuel Surcharge 04/07/11 10.00 10.00
ND Drug Test OS 6 Non -DOT Drug Test 55.00 330.00
Collected Onsite
04/07/11
Jeffrey Barnes Admin
"John Duffy Utilities
Todd Utzig Fire
Trent McIntyre Police
Jeffery Fuchs Fire
Michael Delong Fire
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total $2,01 3.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317- 262 -2200 or fay' us at 3.17- 262 -2222.
Be sure to visit our wehsite at rvww.niidsvesttovicology.coni.
Page 3
Midwest Toxicology Invoice
Services, Inc.
DATE INVOICE
603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/12/2011 231871
BILL TO: SHIP TO:
City of Carmel
Attn: Jim Spelbring
1 Civic Square
Carmel, IN 46032
MMD
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
ND Drug Test. OS 1 Non -DOT Drug Test 55.00 55.00
Collected Onsite
04/06/2011
Andrew J. Wehner
U
APR W [U iil
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317 -262 -2200 or fax us at 317 -262- 2222.
Be sure to visit our website at www.nddwesttoxicologv.co n.
Midwest ?oxicofogy Invo
0 9 w DATE INVOICE
603 East Washington Street, Suite 200, Indianapolis, IN 46204
4/15/2011 232350
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Spelbring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
DAC
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00
Collected at Community Occ. Health Center
4/9/2011
Joanette Greaser
ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00
Collected at Community Occ. Health Center
4/8/2011
David Contino
D
APR 2 5 2011
By
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total $110.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 3.17 -262 -2222.
Be sure to visit our website at www midwesttaxicology.cont.
Midwest Toxicology Invoice
4� Inc.
DATE INVOICE
603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/18/2011 232466
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Jim Spetbring on invoices no ss
1 Civic Square Email results to Barb Lamb cc Jim
Carmel, IN 46032 Still Mail results to Jim
DAC
CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE OTY DESCRIPTION PRICE EACH AMOUNT
ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00
Collected at Community Occ. Heath Center- Carmel
4112111
Troy Smith- 5430
ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00
Collected at Community Occ. Health Center- Carmel
4112111
Janet Arnone- 5841
D
APR 25 2011
By
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total $110.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact us at 317- 262 -2100 or fax us at 317 -261 -2212.
Be sure to visit our website at www. m idwesttoxicology. cout.
VOUCHER NO. WARRANT NO,
ALLOWED 20
Midwest Toxicology
IN SUM OF
603 East Washington Street, Suite 200
Indianapolis, IN 46204
$2,343.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1201 I 231871 I 43 $55.00 1 hereby certify that the attached invoice(s), or
1201 I 231829 43- 588.00 f7 $55.00 bill (s) O is (are) true and correct and that the
1201 232074 I 43- 588.00 I $2,013.00
materials or services itemized thereon for
1201 I 232350 43- 588.00 I $110.00
which charge is made were ordered and
1201 f 232466 43- 588.00 $110.00
f received except
Friday, April 22, 2011
Direct HR
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/12/11 231871 $55.00
04/12/11 231829 $55.00
04114/11 I 232074 I I $2,013.00
04115111 I 232350 I I $110.00
04/18/11 I 232466 I I $110.00
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