165338 10/29/2008 i
CITY OF CARMEL, INDIANA VENDOR: 00351299 Page 1 of 1
ONE CIVIC SQUARE MICRO AIR INC
CARMEL, INDIANA 46032 6320 LA PAS TRAIL CHECK AMOUNT: $72.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 165338
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT P O NUM INVOICE NUM AMOUNT DESCR
601 5023990 42453 72.00 CONT SERVICES TESTING
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Indoor Air Quality
Catastrophe Services
Microbiology
Asbestos Surveys
Ar N AF Air Monitoring
MIC11 glif Jn C 6320 LA PAS TRAIL, INDIANAPOLIS, INDIANA 46268 Industrial Hygiene
Epidemiology
0 TELEPHONE: (317) 293-1533 FAX: (317) 290-3566
Radon Testing
E-MAIL: microair@microair.com Water Testing
WEB SITE: http://www.microair.com Lead Testing
INVOICE
To: Carmel Water Distribution Invoice No: 42453
Paul Pace Terms: 30 Day Net
3450 W. 131st Street Client ID: 80-C204
Westfield, IN 46074 InN Date: 10/17/2008
Federal Tax ID: 35-1645695
Attn Paul Pace
Professional Sen for lab analysis.
Project Name: Cherry Tree Grow
Project Number: IN5229004
Sample Numbers: 42453-001 to 42453-006
PO Number: N/A
Requested Turnaround: 24 Hours
Quantity Analysis Requested Price Ea. Total
6 Coliform Drinking Water $12.00 $72.00
Total Due
Make checks payable to Micro Air, Inc. and reference the invoice on check or include payment slip.
Pagel
1
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
8
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Uoucher No Warrant No.
ACCOONtS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
m 1.L��t✓ A c Favor Of ,1
L 4 rf C� Ise'
O
Total Amount of Voucher
Deductions
1 �t�
Amount of Warrant DD
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325