158991 04/30/2008 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: 158991
TWINSBURG OH 44087
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3004 2.00.00 CONT SVS- TESTING -S PL
i
I
Mercury One LTD Invoice
2241 Pinnacle Parkway
Suite B Date Invoice
Twinsburg, OH 44087 4121/2008 3004
Bill To Ship To
CARMEL WWTP CARMEL WWIP
9609 Hazel Dell Parkway `fWd `hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 BP 4/21/2008
Quantity Item Code Description Price Each Amount
101 EPA Method 1631E
1 101C Final Effluent 4/8/2008 50.00 50.00
1 101c Final 4/8/2008 50.00 50.00
1 1 o l e Raw Influent 4/8/2008 50.00 50.00
1 101 e Raw Influent 4/8/2" 50.00 50.00
I
Please remit to above address. Total
$200.00
Phone Fax F,maii Web Site
330- 963 -0843 330- 963 -1016 p.ebesole@hotmail.com www.mercuryoneltd.com
I
I
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 4/25/2008
TWINSBURG, OH 44087
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/2008 3004 $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
1 JOUCHER 085383 WARRANT ALLOWED
356:311 IN SUM OF
MERCURY ONE LTD
2241 PINNACLE PARKWAY
SUITE B
TWINSBURG, OH 44087
r
3
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
3004 01- 7352 -05 $200.00
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under vehicle highway fund