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Home My WebLink About161482 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $330.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 roe �o? INDIANAPOLIS IN 46204' CHECK NUMBER: 161482 CHECK DATE: 7/11/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 155389 165.00 TESTING FEES 1201 4358800 155467 110.00 TESTING FEES 1201 4358800 155682 55.00 TESTING FEES l y I I e e 9 a ry Midwest Toj&ofo Ay Invoice Q Services, Inc DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/24/2008 155467 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 MG CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 2 ND Drug Test CS Non -DOT Drug Test 55.00 110.00 Collected at Community Occ. Health Center Carmel, IN 6/20/08 Pay your bills online at: https://wv,fw.intuitbillpay.com/midwesttoxicologyservicesinc. A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. We appreciate your business and thank you for your prompt payment. Total $110.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax its at 317 262 -2222. Be sure to visit our website at www.midwesttoxicology.com.. Midwest Toxicofogy Invoice Q Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/26/2008 155682 BILL TO: SHIP TO: City of Carmel No names or ss #'s Attn: Shelly Lingelbaugh 1 Civic Square Carmel, IN 46032 PH 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 6/23/08 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 longer showing the full SSN on invoices. 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 7oXicology Invoice h S ervues, In c. DATE INVOICE 6/23/2008 155389 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 PH CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 QTY ITEM CODE DESCRIPTION PRICE EACH AMOUNT 3 ND Drug Test CS Non -DOT Drug Test 55.00 165.00 Collected at Community Occ. Health Center- Carmel Carmel, IN 6/13/08(2) 6/16/08(l) 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. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $165.00 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.inidwesttoxicology.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. Pa Midwest Toxicology yee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/24/08 155467 Pre emplo Drug Test (2) $110.00 06126/08 155682 Pre employment Drug Test $55.00 06/23/08 155389 Pre employment Drug Test (3) $165.00 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 VOUCHER6No7i%— WARRANT NO. Midwest Toxicology ALLOWED 20 IN SUM OF 603 E. Washington St., Suite 200 !Rd*anapel*s, 1 N 46294 $330.00 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 1 b5467 588 $110.00 materials or services itemized thereon for which charge is made were ordered and received except 1201 155389 588 $165.00 20 ignaturqj I Cost distribution ledger classification if Title —1 claim paid motor vehicle highway fund