HomeMy WebLinkAbout166312 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1
t ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200
INDIANAPOLIS IN 46204 CHECK NUMBER: 166312
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4358800 166229 55.00 TESTING FEES
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Midwest Toxicology Invoice
serv ices, In
DATE INVOICE
603 East Washington Street, Suite 200, Indianapolis, IN 46204 11/12/2008 166229
4
BILL TO: SHIP TO:
City of Carmel Names location of collection
Attn: Shelly Lingelbaugh on invoices no ss
1 Civic Square
Carmel, IN 46032
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CONTROL P.O. NUMBER JOB SITE TERMS FACILITY
5528 Due on receipt 142376
ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT
DOT Test 1 DOT Drug Test 55.00 55.00
Collected at Midwest Indianapolis
11/10/08
Parks Pifer
Pay your bills online at:
https:// www. intuitbiIIpay. com /midwesttoxicologyservicesinc.
A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business.
Thank you for your business! Total $55.00
Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC.
For questions regarding this invoice, contact as at 317 -262 -2200 or fax us at 317 262 -2222.
Be sure to visit our website at wwtiv.midwesttoxicology.cnm..
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Midwest Toxicology yee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/12/08 166229 Pre employment Drug Test (1) 55.00
Total
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.
20
Clerk- Treasurer
VOUCHER 01 21108 WARRANT NO.
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ALLOWED 20
p Washington St., Suite 200 IN SUM OF
Indianapolis, IN 46204
$55.00
ON ACCOUN OF APPROPRIATION FOR
Uneral Fund
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
qn, 1166229 588 $bb.0 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
SI ture
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund