The URL can be used to link to this page

Home My WebLink About164834 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 Q ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $220.00 CARMEL, INDIANA 46032 sos E WASHINGTON ST sulTe 200 o INDIANAPOLIS IN 46204 CHECK NUMBER: 164834 CHECK DATE: 10116/2008 DEPAR ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION X 1201 4358800 162100 55.00 TESTING FEES j 120.1 4358800 162619 110.00 TESTING FEES j 12011 4358800 162701 55.00 TESTING FEES I F r 1 Act i 911idwest 7oXicofo gy Invoi Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/1/2008 162701 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 EK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel IN 9/30/2008 Gary D Lafollette Pay your bills online at: https:// www. intuitbillpay. com /midwesttoxicologyservicesinc. I 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 us at 317- 262 -2200 or fax us at 317 262 -2222. Be sure to visit our website at wwminidwesttoxicology.com. 4 Midwest To.�ieofogy l Y Services, Inc. DATE INVOICE �0 603 East Washington Street, Suite 200, Indianapolis, IN 46204 9/25/2008 162100 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 EK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel IN 9/22/2008 Kevin P Stindle 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 us at 317- 262 -2200 or fax us at 317 262 -2222. Be sure to visit our website at www.midwesttoxicology.com. Midwest Toxicology Inv oice Services Inc. ;Q DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/1/2008 162619 BILL TO: SHIP TO: City of Carmel Names'& location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 EK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 2 Non -DOT Drug Test 55.00 110.00 Collected at Community Occ. Health Center Carmel IN 9/29/2008 James E Alford David A Mulford 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 $110.00 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 wwm midwesttoxicology. com. r Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) r 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 ftyee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/0 8 162701 Pre employment Drug Test (1) $55.00 100 Pre employment Drug Test (1) $55.00 1010 162619 Random Drug Testing (2) $110.00 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 VGUCHER N� 13/08 WARRANT NO. ALLOWED 20 603 F Was %JIL S1 S uite 2ou IN SUM OF Indianapoli IN 46204 $220.00 ON ACCOUI)W F8IATION FOR 1201 Human Resources Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1201 62701 588 bill(s) is (are) true and correct and that the materials or services itemized thereon for 621 ou 588 $55.00 which charge is made were ordered and 1201 162619 received except 20 Sign uW Cost distribution ledger classification if Title claim paid motor vehicle highway fund