165122 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351515 Page 1 of 1
ONE CIVIC SQUARE ANALYTICAL PRODUCTS GROUP INC
CARMEL, INDIANA 46032 1991 CROCKER ROAD SUITE 350 CHECK AMOUNT: $115.00
WESTLAKE OH 44145
CHECK NUMBER: 165122
CHECK DATE: 10/29/2008
6 �PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990. 177560 115.00 OTHER EXPENSES
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The Measure of Quality Invoice
Afn a iytigj a P roduct s 177560
2730 Washington Blvd., Belpre, Ohio 45714 Invoice Date
8QO 272 -4442 e 740 423 -4200 Fax 740 423 -5588
h��af, 10/20/2008
www.APGQA.com
APG_ Lab Code
Bill To: Accounts Payable Ship To: Teresa Lewis 2857
Carmel Utilities Carmel Utilities
760 3rd Avenue SW Suite 110 9609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
Phone 317 571 -2634 x 210
Fax 317- 571 -2636
Account Date Shipped Shipped Via F.O.B. Point Terms Payment Method
02 -2857 10/20/2008 Best Way Belpre Net 30 Purchase Order
Next Day S10932-
mm 14
-NUMME H�" M
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1 4752 Microbiological QC Standard October 20 WP QC 85.0 $85.00 85.00
4752 Microbiological QC Standard October 2008 WP QC I
4599 Phosphate Buffer Solution October 2008 WP QC
Subtotal 85.00
Shipping 15.00
Express Shipping 15.00
Total Invoice 115.00
Remit Payment To: Customer Satisfaction Survey
1991 Crocker Road Your feedback is very important to us. Please take a moment
Suite 350, Westlake, Ohio 44145 to complete our customer satisfaction survey at:
(800) 272 -4442 (440) 899 -9452 Fax (440) 899 -9453 http: /www.apgga.com /satisfaction
www.APGQA.com
Paid in US Funds Analytical Products Group, Inc. Page 1 of 1
Manufactured local production 100% in Belpre, Ohio, USA
VOUCHER 086554 WARRANT ALLOWED
'`351515��� IN SUM OF
APG Wal
1991 Crocker Road Ste 350
Westlake, OH 44145
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
177560 01- 7352 -05 $115.00
r,
Voucher Total $115.00
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
351515
APG Purchase Order No.
1991 Crocker Road Ste 350 Terms
Westlake, OH 44145 Due Date 10/23/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/23/2001 177560 $115.00
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