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Home My WebLink About157582 03/19/2008 CITY OF CARMEL, INDIANA. VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC 0 CARMEL, INDIANA 46032 CHECK AMOUNT: $3,691.00 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 157582 CHECK DATE: 311912008 DEPARTMENT ACCOUNT PO NUMBER IN N UMBER AMOUNT DESCRIPTION 1201 R4358800 16631 146176 1,900.00 DRUG TESTING 1201 R4358800 16631 146187 990.00 DRUG TESTING 1201 R4358800 16631 146238 550.00 DRUG TESTING. 1201 R4358800 16631 146241 83.00 DRUG TESTING 1201 R4358800 16631 146258 56.00 DRUG TESTING 1201 R4358800 16631, 146296 56.00 DRUG TESTING 1201 R4358800 16631 146336 56.00 DRUG TESTING Midwest To.zicofogy Invoic Services, Inc. DATE INVOICE 3/3/2008 146176 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 SRC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 23 ND Drug Test Non -DOT Drug Test 55.00 1,265.00 Collected Onsite 02/28/08 9 DOT Test DOT Drug Test 55.00 495.00 Collected Onsite 02/28/08 5 DOT Alcohol DOT Breath Alcohol Test 28.00 140.00 Collected Onsite 02/28/08 Pay your bills online at: https:// www. intuitbillpay. 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 $1,900.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax us at 317 262 -2222. Be sure to visit our website at www.nzidwesttoxicolo,-y.com. Midwest To.Vcofogy Invoic Services, I nc. Q DATE INVOICE 3/4/2008 146296 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 SC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 1 ND Drug Test CS Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel Carmel, IN 2/29/08 1 Collection Site S... Please note that you are being charged an additional fee due to your 1.00 1.00 collection site charges. Pay your bills online at: https://www.intuitbilipay.com/midwesttoxicologyservicesinc. A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $56.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317- 262 -2222. Be sure to visit our website at www.midwesttoxicology.com. Midwest 7oxicofogy I n v oice o DATE INVOICE 3/4/2008 146241 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 SRC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 1 DOT Test DOT Drug Test 55.00 55.00 Collected Onsite 02/26/08 1 DOT Alcohol DOT Breath Alcohol Test 28.00 28.00 Collected Onsite 02/26/08 Pay your bills online at: https:// www. intuitbilipay. 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 $83.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax us at 317- 262 -2222. Be sure to visit our website at www.niidwesttoxicology.com. Midwest Toxicology Invoice 04iii DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 3/4/2008 146258 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 SC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 1 ND Drug Test CS Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel Carmel, IN 2/27/08 1 Collection Site S... Please note that you are being charged an additional fee due to your 1.00 1.00 collection site charges. 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. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $56.00 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 www.midwesttoxicology.com. Widfwest 7o.xicology Invoic 0 9 WA R DATE INVOICE 3/4/2008 146336 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 SC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 1 ND Drug Test CS Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel Carmel, IN 2/29/08 1 Collection Site S... Please note that you are being charged an additional fee due to your 1.00 1.00 collection site charges. 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. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $56.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317- 262 -2222. Be sure to visit our website at www.nridwesttoxicology.coni. Widwest To.xicofogy Invoice o DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 3/3/2008 146238 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 MA CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 10 ND Drug Test Non -DOT Drug Test 55.00 550.00 Collected Onsite 2/27/08 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. For the purpose of client confidentiality we are no longershowing the full SSN on invoices. Total $550.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 -262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.midwesttoxicology.com. Midwest TxCicofogy I n v oi ce @ffl w� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 3/3/2008 146187 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 LW CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 18 ND Drug Test Non -DOT Drug Test 55.00 990.00 Collected Onsite 2/26/08 Pay your bills online at: https://www.intuitbi11pay.com/midwesttoxicologyservicesinc. A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Total $990.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.tW(twestioxicology.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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Midwest Toxicolo&yee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/03/08 146176 Random Drug Testing $1 146296 Random Drug Testing $56.00 41 Random Drug Testing $83.00 03/0470 146258 Random Drug Testing $56.00 03/04M 1463315 Random Drug Testing $56.00 03/0 146238 Random Drug Testing $550.00 03103/0 146187 Random Drug I es ing $990.00 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 1`0 IL 08 WARRANT NO. ALLOWED 20 Washington St., Suite 200 IN SUM OF Indianapolis, IN 46204 $3,691.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 16631 materials or services itemized thereon for partial 146296 588 $56.0 which charge is made were ordered and 6631 received except PaFti8l 146241 588 83.00 partial 146258 5 16631 pal tlaj 146336 588 56.00 partial 16631 partial 146187 588 990.00 loe 20 n Si 01D r Cost distribution ledger classification if Title claim paid motor vehicle highway fund