156740 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 355130 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES
CARMEL, INDIANA 46032 P D BOX e CHECK AMOUNT: $135.97
BIRNAMWOOD WI 54414 CHECK NUMBER: 156740
CHECK DATE: 2/2112008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR
651 5023990 230366 135.97 MATERIALS SUPPLIES
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l
I
NORTH CENTRAL LABORATORIES
,NCL P.O. BOX 8
BIRNAMWOOD, WI 54414
OF WISCONSIN, INC. FED. ID 39- 1538387
INVOICE NO. 230366
INVOICE 01728/2008
S YOUR ACCOUNT NO.
O CITY OF CARMEL 7804
L 9609 HAZEL DELL PARKWAY
D YOUR ORDER NO.
Verbal -Tara Rubush
T INDIANAPOLIS IN 46280
TERMS F.O.B.
O
Net 30 days Our Plant
SHIPPED VIA
UPS 01/24/2008
SHIPPED TO PPD. OR COLL.
CARMEL WASTEWATER TRT PLANT, 9609 HAZEL DELL PARKWAY, INDIANAPOLIS, IN 46280 X
1 500 g N -50, Nitrification Inhibitor 128.50 128.50
Delivery Charges 7.47
SUB -TOTAL 135.97
WI Sales Tax- Exempt .00
TOTAL 135.97
Thank you for your order!!
PLEASE PAY OFF OF THIS INVOICE
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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
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI 54414 Due Date 2/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2008 230366 $135.97
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
ti
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 077267 WARRANT ALLOWED
355130 IN SUM OF
NORTH CENTRAL LABORATORIES
sP O BOX 8
,BIRNAMWOOD, WI 54414
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
230366 01- 7202 -05 $135.97
1r
Voucher Total $135.97
Cost distribution ledger classification if
claim paid under vehicle highway fund