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Home My WebLink About197305 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 0 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $825.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 197305 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 21677 232549 275.00 TESTING FEES 1201 R4358800 21677 232940 275.00 TESTING FEES 1201 R4358800 21677 233527 275.00 TESTING FEES 5Widwest Toxicofogy Invoice Services, Inc. —I� aQ DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/28/2019 233527 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 9 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 5 Non -DOT Drug Test 55.00 275.00 Collected at Community Occ. Health Center Carmel 4115111 Michael Hamilton 4116111 Robert Hensley 4118111 Dwight Frost Brendan Davis 4119111 Ethan Dove D MAY 0 9 2011 By A finance charge will be assessed on aft invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $275.00 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 rvsvw.ntidwesttoxicology.coni. Invoi 91�1id'west 7o.xicotogy Sew :ces, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/18/2011 232549 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- Carmel 4/13/11 Shannon Minnaar ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center- Carmel 4113/11 Michael Medlen ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center- Carmel 4/12/11 Sean Brady ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center- Carmel 4/13111 Richard Alvarez ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center- Carmel 4/13/11 William Haymaker Q MAY 0 9 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! I Total $275.00 Make Checks Payable To: MIDwVEST 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.midwesttoxicology.com. Midwest ToXicofogy In v o i ce Services, Inc. QOp f DATE INVOICE# 4/21/2011 232940 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 NM CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT DOT Test 1 DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel 4112/11 James Bentley ND Drug Test CS 4 Non -DOT Drug Test 55.00 220.00 Collected at Community Occ. Health Center Carmel 4113111 Brian Schmidt 4/14/11 Lorie Kramer Scott Osborne 4/15/11 Howard Wendell D U MAY 0 9 I'll 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 $275.00 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.ntidwesttoxicology.com. VOUCHER NO. WARRANT NO. ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $825.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 21677 232549 43- 588.00 j $275.00 1 hereby certify that the attached invoice(s), or 21677 232940 43- 588.00 $275.00 bill(s) is (are) true and correct and that the 21677 I 233527 43- 588.00 I $275.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, May 09, 2011 6o'— Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 04/18/11 232549 $275.00 04121/11 232940 $275.00 04/28/11 I 233527 I I $275.00 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