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Home My WebLink About163529 09/04/2008 CITY OF CARMEL, INDIANA VENDOR: 355031 Page 1 of 1 i. ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH MK AMOUNT: $7,267.00 CARMEL, INDIANA 46032 P 0 BOX 19383 INDIANAPOLIS IN 46219 CHECK NUMBER: 163529 CHECK DATE: 9/412008 DEPARTMEN A CCOUNT PO NU INVO ICE NUM AMOUNT DESCRIPTION 1046 YYJ 4340700� 214601 172.00 MEDICAL FEES 1047 4340700 214601 5,160.00 MEDICAL FEES 1125 4340700 214601 43.00 MEDICAL FEES 1046 4340700 218111 301.00 MEDICAL FEES 1047 4340700 218111 1,591.00 MEDICAL, FEES Invoice 218111 (continued) page 4 80101 07/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 gg Spencer E Ti es Balance Due: 4 3.00 ,ft P 80101 07/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Samantha R Turn Wald Balance Due: 4 3.00 S0101 07/17/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Alexander Upwards Balance Due: 43.00 80101 07/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Katherine E Vogel Balance Due: 43.00 50101 07/09/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Ariel B Wong Balance Due: 43.00 Invoice 218111 Balance Due: 1892.00 PLEASE REMIT PAYMENT PROMPTLY 1 C1EWED �t v AUG L y. 0 7 2008 Dc v Ste« -4.. PA.Y NI' PotiF L Bud 301. v D Do c, i m with payment Community Occupational Health Services P.O. Box 19383 Indianapolis, IN 46219 A V 317 -355 -6335 Tax ID 35- 1955223 AUG 1 2 200$ 4 RT ffi-1 r i K i AUG 0 8 2008 Invoice E August 04, 2008 Bill to: Lynn Russell For: Carmel. Clay Parks Recreation Carmel Clay Parks Recreation 7/08 1411 E. 116th St. Carmel, IN 46032 Invoice 218111 ?roc Code Service Date Descrrptign Quantity Charge Receipt °diust Balance 80101 07/27/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 x Nathalie D Albino Balance Due: 43.00 h 80101 07/31/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Rebekah A Aziz Balance Due; 43.00 :ter: 80.101 07/17/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brett Bastian Balance Due: 43.00 80101 07/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Anna G Beer Balance Due: 43.00 80101 07/27/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Bria M Brown Balance Due: 43.00 L------- 50101 07/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Margaret A Carter Balance Due: 4 SO101 07/26/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 7+ Michelle L Dean Balance Due: 43.00 5 80101 07/31/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Meagan L Decker Balance Due; 43.00 Rs7101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 :r John T Dwyer Balance Due: 43.00 80101 07/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 L b; Invoice 218111 (continued) page 2 Efrain Galdamez Balance Due: 43.00 801.01 07/22/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Andrew M Gannon Balance Due: 43.00 80 07/22/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 S Brad E Hagenow Balance Due: 43.00 Y 80101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Susan A Haigh Balance Due: 43.00 4�7 80101 07/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Zachary T Hanger Balance Due: 43.00 80101 07/03/2008 Drug Screen Non NIDA 5 Panel 1.00 4100 43.00 Quinn R Heath Balance Due: 43.00 $0101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 �y Alicia D Hrachovec Balance Due: 43-00 90101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Daniel W Karwoski Balance Due: 43.00 4 I 80101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Nolan M Karwoski Balance Due: 43.00 80101 07/24/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Margaret Kaster Balance Due: 43.00 -80101 07/25/2008 Drug Non NIDA 5 Panel 1.00 43.00 43.00 David J Kerr Balance Due: 43.00 80101 07/31/2008 Drug Screen Non. NIDA 5 Panel 1.00 43.00 43.00 Rachel J Kuroiwa Balance Due: 43.00 90101 07/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Taylor M Lampe Balance Due: 43.00 80101 07/08/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 8f Olga Y Lebedeva Balance Due: 43.00 80101 07/05/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43 -00 Lauren K Levenhagen Balance Due: 43.00 40101 07/02/2008 Drug Screen -Non NIDA 5 Panel 1.00 43.00 43.00 u� C� k� F: L All 8 2008 a' BY i�, Invoice 2 18 111 (continued) page 3 Basell C Maarouf Balance Due: 43.00 r3 i11 801.01 07/26/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Loren M Manning Balance Due: 43.00 80101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Christopher B Mascaro Balance Due: 43.00 80101 07/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Tifarah S McMullin Balance Due: 43.00 80101 07/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Johnathan L Morgan Balance Due: 43.00 E ti 80101 07/10/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Chris L Mourey Balance Due: 43.30 80101 07/01/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Morgan J O'Malley Balance Due: 43.00 80101 07/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Andrew J Posan Balance Due: 43.00 80101 07/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Jason P Ray Balance Due: 43.00 80101 07/26/2008 Drug Non NIDA 5 Panel 1.00 43.00 43.00 i3 Natalie N Rose Balance Due: 43.00 ail j nl. 80101 07/09/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Lily E Seidman Balance Due: 43.00 r•�. 80101 07/18/2008 Drug Non NIDA 5 Panel 1.00 43.00 43.00 S Allison J Starner Balance Due: 43.00 80101 07/17/2008 Drag Screen Non NIDA 5 Panel 1.00 43.00 43.00 Ian Stewart Balance Due: 43.00 50101 07/24/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 L Clint P Swan Balance Due: 43.00 'SO101 07/03/2008 Drag Screen Non NIDA 5 Panel 1.00 43.00 43.00 8i Erin E Swirsky Balance Due: 43.00 LBY� Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoice 214601 (continued) page 10 Jordan M Wright. Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Tyler J Wright Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Benjamin D Wurtz Balance Due: 43.00 80101 06/30/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 4100 Jeffrey W Wurtz Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Max P Yde Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brent D Young Balance Due: 43.00 80101 06/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Courtney Young Balance Due: 43.00 Invoice 214601 Balance Due: 5375.00 PLEASE REMIT PAYMENT PROMPTLY Rp C 'El VR, All o 6 2006 Purchase Sc-r BY: Delimption L J P.O.8 N PorF 4 0 t a v Bud A Me-- t Pk,, !a`i PINChaw Date�,� a K'7 $1 trJ v v Cut and return with payment Community Occupational Health Services P.O. Box 19383 Indianapolis, IN 46219 317- 355 -6335 Tax ID 35- 1955223 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks& Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 lnvoice 214601 Proc Code Service Date Description Quantity Charge Receipt Adiust Balance 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 4100 43.00 Christopher W Adamson Balance Due: 43.00 80101 06/05/2008 Drug Screen Non NI DA 5 Panel 1.00 43.00 43.00 Zane Anderson Balance Due: 43.00 solo] 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 John A Bender Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Nicholas W Berry Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 4100 43.00 Kelsey E Binion Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Mayom P Boj Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Keisha D Boruff Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Christopher B Bosma Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Megan E Bowman Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Taylor H Brenia Balance Due: 43.00 80101 06/14/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoice 214601 (continued) page 2� Alexander P Broerman Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brooke M Bures Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Michael P Burnside Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5.Panel 1.00 43.00 43.00 Edward J Buser Balance Due: 43.00 80 i Ol 06/02/2008 Druo Screen Non NLDA 5 Panel 1.00 43.00 43.00 Evan C Cain Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Jennifer M Cannady Balance Due: 43.00 80101 06/13/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Scan M Cary Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Chelsea E Clements Balance Due: 43.00 80101 06/20/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Emily A Condon Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Sarah M Conrad Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Charles E Cossell Balance Due: 43.00 80101 06/25/2008 Drug Screen -Non N IDA 5 Panel 1.00 43.00 43.00 Mackenzie Cuthbert Balance Due: 4 3.00 80101 06/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brian A Cyb Balance Due: 43.00 80101 06/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Robert M Davidson Balance Due: 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 In 214601 (conti page 3 80101 06/26/2008 Drug Screen Non NIDA 5 Panel 1.00 4100 43.00 Jared J DeBoer Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Andrew M Deddens Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Samuel Deddens Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00.. 43.00 43.00.. Ian A Deibert Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Rohan K Dharan Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kelsey A Diebert Balance Due: 43.00 80101 06/13/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Abigail J Eidson Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kevin M Ellison Balance Due: 43.00 80101 06/08/2008 Drug. Screen Non NIDA 5 Panel 1.00 43.00 43.00 Paige N Evans Balance Due: 43.00 80101 06/13/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Holly N Farrell Balance Due: 43.00 80101 06/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Ben Finley Balance Due: 43.00 80101 06/21/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Daniel P Fraseella Balance Due: 43.00 80101 06/29/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kara T Froemming Balance Due: 43.00 80101 06/12/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoice 4 214601 (continued) page 4 Ashley K Fuhrmann Balance Due: 43.00 80101 06/16/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Megan R Gibson Balance Due: 43.00 80101 06/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Tavlor J Godleski Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Pamela A Grimaldi- Snider Balance Due: 43.00 80101 06/30/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Morgan 1E Grisham Balance Due: 43.00 80101 06/10/2008 Drug Screen Non NIDA 5 Panel 1.00 4100 43.00 Thomas W Grisham Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Ahmed A Hachimi Balance Due: 43.00 80101 06/10/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brandon M Hall Balance Due: 43.00 80101 06/12/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Stephanie K Hance Balance Due: 43.00 80101 06/14/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Cara E Hayes Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Perla C Hernandez Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Mary E Hession Balance Due: 43.00 80101 06/14/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Allyson C Higgenbottom Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Jessica L Higginbotham Balance Due: 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoice 214601 (continued) page 5 80101 06/01/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00. Kyle R Hindman Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Tyler A .Hobbs- Bryson Balance Due: 43.00 80101 06/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00. Jeffrey Hooton Balance Due: 43.00 80101 06/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43,00 43.00 Temprance N Howard .Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Elizabeth C Hudson Balance Due: 43.00 80101 06/26/2008 Drug Screen Non NIDA 5 .Panel 1.00 43.00 43.00 Tyler L Hurm Balance Due: 43.00 80101 06/14/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Aaron Jewell Chanev Balance Due: 43.00 80101 06/27/2008 Drug Screen Non NIDA 5 Panel 1 AO 43.00 43.00 Adam P Jones Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Matthew L Kaster Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Alyssa M Kavanaugh Balance Due: 43.00 80101 06/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Allison L Kehoe Balance Due: 43.00 80101 06/04/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Nicholas H Khan Balance Due: 43.00 80101 06/21/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Matthew .B Kieffer Balance Due: 43.00 80101 06/13/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 ��Invoi ce 21.4601 (continued) page 6 Rachel D Kim Balance Due: 43.00 80101 06/10/2008 Drug Screen -Non NIDA 5 Panel 1.00 43.00 43.00 Christopher M Kopf Balance Due: 43.00 80101 06/18/2008- Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Natasha Kosoglov Balance Due: 43.00 80101 06/05/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Zachary Kreegar Balance Due: 43.00 80101 06/20/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Paige M Lloyd Balance Due: 43.00 80101 06/29/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Andrew 'W Loveall Balance Due: 43.00 80101 06/04/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Megan K Martin Balance Due: 43.00 80101 06/04/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Sarah A Martin Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Jonathan R May Balance Due: 43.00 80101 06/12/2008 Drug Screen -Non N IDA 5 Panel 1.00 43.00 43.00 Jenna R McClean Balance Due: 43.00 80101 06/07/2008 Drug Screen -Non NIDA 5 Panel 1.00 43.00 43.00 Ross C McElheny Balance Due: 43.00 80101 06/24/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Sarah L McNurlan Balance Due: 43.00 80101 06/23/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Keegan McSweeney Balance Due: 43.00 80101 06/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 John P Mershon Balance Due: 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parrs Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoke 214 (continued) page 7�� 80101 06/20/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 David G Moehling Balance Due: 43.00 80101 06/30/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Frances J Morton Balance Due: 43.00 80101 06/17/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Julia L Newten Balance Due: 43.00 80101 06/17/2008 Drug Screen Non NIDA 5 Panel 1.00° 43.00 43.00 Brady O'Cull Balance Due: 43.00 80101 06/27/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 John R O'Donnell Balance Due: 43.00 80101 06/10/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Brian P O'Hara Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kathleen W O'Hara Balance Due: 43.00 801.01 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Patrick T Ostrom Balance Due: 43.00 80101 06/13/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Stephanie A Paul Balance Due: 43 .0 0 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Yevgeniya Perelmuter Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Min Qiao Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 4100 Michael Redchanskiy Balance Due: 43.00 80101 06/17/2008 Drug Screen Non NIDA 5 Panel 1..00 43.00 43.00 Christina Redmon Balance Due: 43.00 80101 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Lnvoiee 214601 (continued) page 8 Kaitlyn J Reed Balance Due: 43.00 80101 06/09/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Elizabeth M Reilly Balance Due: 43.00 80101 06/24/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Michaela K Riley Balance Due: 43.00 80101 06/0312008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Thomas C Roederer Balance Due: 43.00 80101 06/14/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Thomas R Rouse Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Anthony E Schlehuber Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kevin M Sheek Balance Due: 43.00 80101 06/10/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Craig A Smith Balance Due: 43.00 80101 06/30/2008 Drub Screen Non NJ DA 5 Panel 1.00 43.00 43.00 Zachary Smitson Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kelsey M Steele Balance Due: 43.00 80101 06/06/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Julius M Stovall Balance Due: 43.00 80101 06/01/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00. Jeffrey J Straub Balance Due: 43.00 80101 06/02/2008 Drug Screen Non N IDA 5 Panel 1.00 43.00 43.00 John K Straub Balance Due: 43.00 80101 06/30/2008 Drub Screen Non NIDA 5 Panel 1.00 43.00 43.00 Lauren K Syck Balance Due: 43.00 Invoice July 03, 2008 Bill to: Lynn Russell For: Carmel Clay Parks Recreation Carmel Clay Parks Recreation 6 -08 1411 E. 116th St. Carmel, IN 46032 Invoice 214601 (continued) page 9� 80101 06/18/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Linda A Tanella Balance Due: 43.00 80101 06/04/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Julianne M Thomas Balance Due: 43.00 80101 06/20/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Deborah J Toof Balance Due: 43.00 80101 06/26/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Justin W Towle Balance Due: 43.00 80101 06/26/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Alyssa J Vallieres Balance Due: 43.00 80101 06/30/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Ashley N Vallieres Balance Due: 43.00 HIM 06/02/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Benjamin S Wachtel Balance Due: 43.00 80101 06/26/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Debra M Walker Balance Due: 43.00 80101 06/03/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kathleen K Weaver Balance Due: 43.00 80101 06/07/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 4100 Aaron M Whittington Balance Due: 43.00 80101 06/04/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 Kelsey D Williams Balance Due: 43. 80101 06/20/2008 Drug Screen -Non NIDA 5 Panel 1.00 43.00 43.00 Jerri L Williamson Balance Due: 43.00 80101 06/19/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 David M Wise Balance Due: 43.00 80101 06/25/2008 Drug Screen Non NIDA 5 Panel 1.00 43.00 43.00 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Payee Purchase Order No. 355031 Community Occupational Health Services Terms P.O. Box 19383 Date Due Indianapolis, IN 46219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 08/04/08 218111 Pre employment drug screening 301.00 08/04/08 218111 Pre employment drug screening 1,591.00 07/03/08 214601 Pre employment drug screening 43.00 07/03/08 214601 Pre employment drug screening 172.00 07/03/08 214601 Pre employment drug screening 5,160.00 Total 7,267.00 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 ,20 Clerk- Treasurer Vau!cher No. Warrant No. 355031 Community Occupational Health Services Allowed 20 P.Q. Box 19383 Indianapolis, IN 46219 In Sum of 7,267.00 ON ACCOUNT OF APPROPRIATION FOR 101 General 104 Program PO# or INVOICE NO. ACCT #/T1TLE AMOUNT Board Members Dept 1046 218111 4340700 301.00 1 hereby certify that the attached invoice(s), or 1047 218111 4340700 1,591.00 bill(s) is (are) true and correct and that the 1125 214601 4340700 43.00 materials or services itemized thereon for 1046 214601 4340700 172.00 which charge is made were ordered and 1047 214601 4340700 5,160.00 received except 18 -Aug 2008 Signature 7,267.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i