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Home My WebLink About196872 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