163858 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 356311 Page 1 of 1
ONE CIVIC SQUARE MERCURY ONE LTD
CARMEL, INDIANA 46032 2241 PINNACLE PARKWAY CHECK AMOUNT: $200.00
o SUITE B CHECK NUMBER: 163858
TWINSBURG OH 44087
CHECK DATE: 9/17/2008
DEPARTMENT A CCOUNT PO N I NVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3413 200.00 OTHER EXPENSES
Mercury One LTD Invoice
2241 Pinnacle Parkway
Suite B Date Invoice
Twinsburg, OH 44087 8/25/2008 3413
Bill To Ship To
CARMEL WWTP CARMEL WWTP
760 Third Avenue SW 9609 Hazel Dell Parkway
Indianapolis, IN 46032 Indianapolis, IN 46280
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 BP 8/25/2008
Quantity Item Code Description Price Each Amount
101 EPA Method 1631E
2 10le Effluent, Influent (Date Sampled 8/1/2008) 50.00 100.00
2 101e Field Blanks Influent, Effluent (Date Sampled 8/1/2008) 50.00 100.00
Please remit to above address. ®a
$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 z
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
rC
r
MERCURY ONE LTD Purchase Order No.
2241 PINNACLE PARKWAY Terms
SUITE B Due Date 9/9/2008
TWINSBURG, OH 44087
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/9/2008 3413 $200.00
i
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
J'
e,-,p
Date Officer
VOUCHER 086260 WARRANT ALLOWED
X56311 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
3413 01- 7352 -05 $200.00
Voucher Total $200.00
3 Cost distribution ledger classification if
claim paid under vehicle highway fund