The URL can be used to link to this page

Home My WebLink About197736 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $550.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 197736 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 21677 233938 220.00 TESTING FEES 1201 R4358800 21677 234348 110.00 TESTING FEES 1201 R4358800 21677 234851 220.00 TESTING FEES Mid-west .lb7`7 est Toxicology Invo Qr Services, Inc. OR D DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 5/12/2011 234851 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 4 Non -DOT Drug Test 55.00 220.00 Collected at Community Occ. Health Center Carmel 5/9/11 Stefanie K Wolf 5/9/11 Justin M. Schussler 5/9/11 Nick C. Eckstein 5/9/11 Alyssa M. Barker MAY 2 3 I'll B y— 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 $220.00 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 svrvw.ntidwesttoxicologucont. 'Mid west Toxicology Invo Services, Inc. Q 1 DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 5/6/2011 234348 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss #!I 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 2 Non -DOT Drug Test 55.00 110.00 Collected at Community Occ. Health Center Carmel 4/30/11 Christopher Kaiser Michael Coyne U MAY 232011 By A finance charge will be assessed on al! 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 $110.00 Make Checks Payable To: MIDWEST'roxiCOLOCY 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 rvrvnuntidwesttosicology.cont. 3fidwest Toxicofogy Invoic Services, Inc. Q, DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/30/2011 233938 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 DAG CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 4 Non -DOT Drug Test 55.00 220.00 Collected at Community Occ. Health Center Carmel 4/26/11 Andrew Helmkamp 4122/11 Eric Groganz 4/20/11 Douglas McElroy 4/14/11 Britney Pennycook D MAY 2►2U11 Sy--- 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 $220.00 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 wehsite at wwjv. in idwesttoxicology %com. VOUCHER NO. WARRANT NO_ ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $550.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACcT#iTiTE AMOUNT Board Members 21677 233938 43- 588.00 $220.00 1 hereby certify that the attached invoice(s), or 21677 234851 43- 588.00 $220.00 bill(s) is (are) true and correct and that the 21677 I 234348 1 43- 588.001 $110.00 I materials or services itemized thereon for which charge is made were ordered and received except Monday, May 23, 2011 Director, 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)) 04130/11 233938 $220.00 05/12/11 234851 $220.00 05/16/11 234348 I $110.00 I 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