165875 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 356311 Page 1 of 1
ONE CIVIC SQUARE MERCURY ONE LTD CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 2241 PINNACLE PARKWAY
SUITE B
TWINSBURG OH 44087 CHECK NUMBER: 165875
CHECK DATE: 11/12/2008
DEPARTME A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 4 5023990 3580 200.00 CONT SVS- TESTING -S PL
t
i
Mercury One LTD Invoice
2241 Pinnacle Parkway
Date Invoice
Suite B
Twinsburg, OH 44087 10/20/2008 3580
Bill To Ship To
CARMEL WWTP CARMEL WWTP
760 Third Avenue SW 9609 Hazel Dell Parkway
Indianapolis, IN 46032 Indianapolis, IN 46280
I
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 BP 10/20/2008
Quantity Item Code Description Price Each Amount
101 EPA Method 1631 E
4 10le Influent, Effluent 2 Field Blanks 50.00 200.00
(Date Sampled 10/2/2008)
Please remit to above address.
Total $200.00
Phone Fax E -mail Web Site
330 963 -0843 330 963 -1016 missyebbie @gmail.com www.mercuryoneltd.com
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
356311
MERCURY ONE LTD Purchase Order No.
2241 PINNACLE PARKWAY Terms
SUITE B Due Date 11/3/2008
TWINSBURG, OH 44087
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 3580 $200.00
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 086603 WARRANT ALLOWED
356311 IN SUM OF
MERCURY ONE LTD
2241 PINNACLE PARKWAY
SUITE B
TWINSBURG, OH 44087
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3580 01- 7352 -05 $200.00
6�
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under vehicle highway fund