HomeMy WebLinkAbout198490 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
CARMEL, INDIANA 46032 635 GREEN ROAD CHECK AMOUNT: $780.00
PO BOX 968
ro„ CHECK NUMBER: 198490
MADISON IN 47250
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20113347 780.00 6350.03
E nvironmental
Invoice Laboratories, inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20113347
Kerri Loveall Invoice Date: 06/10/2011
CARMEL UTILITIES Date Received: 05/25/2011
3450 W. 131st STREET Order No.: 2011050674
CARMEL, IN 46074 PO No.:
r ,Item; Test w"
I n
Qua ntit Cost 70st.-
HAA5 3 $190.00 $570.00
Total THM 3 $70.00 $210.00
(Fold and Cut Here) Invoice Total: $780.00
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 6/13/2011
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 20113347 $780.00
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
Date Officer
VOUCHER 111469 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD. WAWR
P.O. BOX 968 OPERATIONS
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
20113347 01- 6350 -03 $780.00
Voucher Total $780.00
Cost distribution ledger classification if
claim paid under vehicle highway fund