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Home My WebLink About200023 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC l CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $2,877.00 'c INDIANAPOLIS IN 46204 CHECK NUMBER: 200023 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 21677 240380 165.00 TESTING FEES 1201 R4358800 21677 240565 55.00 TESTING FEES 1201 R4358800 21677 240670 55.00 TESTING FEES 1201 R4358800 21677 240900 55.00 TESTING FEES 1201 R4358800 21677 241094 110.00 TESTING FEES 1201 R4358800 21677 241183 1,742.00 TESTING FEES 1201 R4358800 21677 241221 530.00 TESTING FEES 1201 R4358800 21677 241315 165.00 TESTING FEES 1WTI Midwest 7oxicofogy I n voi ce o DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/16/2011 240380 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim CR CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 3 Non -DOT Drug Test 55.00 165.00 Collected at COHC Carmel, IN 7/5/11 Linda L. Travison 6125 7112/11 Stephanie Dodd 3454 7/13111 Shane Anders 4504 D z AUG 01 2011 i By A finance charge will be assessed on al! invoices not paid in 30 days. Thank you for your business. We appreciate your business and thank you for your prompt payment. Total $165.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 orfax us at 317 -262 -2222. Be sure to visit our website at www.ndihvesttoxicologj,.com Mid-west 7oxicofogy Invoice Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/18/2011 240565 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss #!I 1 Civic Square Email results to Barb Lamb cc Jim. Carmel, iN 46032 Still Mail results to Jim CR CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE OTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at COHC Carmel, IN Melissa Barker O 1 2011 By 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 $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact its at 317 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.mirhves11oxico1ogp.com Widtvest Toxicology Invo Services, Inc, DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/19/2011 240670 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim NM 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 7115111 Erin Crask AUG 01 2011 BY 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: MII]WEST 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 wrvrn.otitlwesttoxicologv.com. Midwest ToXicotogy Invoice iQk Services, Inc. l DATE INVOICE �t t 7/21/2011 240900 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss #II 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim DAC 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 7119111 Alayna Haas L_�� EJ Ir AUG 01. 1011 j 3y 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 -2 200 or fax us at 317 -262 -2222. Be sure to 'visit our wehsite at n >rvrv.midwesttoxicologv.com. L -A Midwest 7oXicology 1 Invoice A wA i DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/25/2011 241094 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim DAC 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 7120/11 Brenda King Aaron Gibbons a AUG 0 2D11 By 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 377 -262 -2200 or fax us at 317- 262 2222. Be sure to visit our website at wivw.njidrvesttoxicology.cotrt. Midwest 7ozicoCogy i void 04* DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/26/2011 241183 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test -OS 7 Non -DOT Drug Test 55.00 385.00 Collected Onsite 07/19111 Ronald Paddock Fire Brian Smith Fire David Contino Fire Richard DeCrastors Fire Anthony Mowery Fire Robert Hensley Fire Sally Lafollette Fire Fuel Surcharge 1 Fuel Surcharge 07119!11 10.00 10.00 ND Drug Test -OS 16 Non -DOT Drug Test 55.00 880.00 Collected Onsite 07/20/11 Chritopher Ellison Fire Charles Plumer Fire Peggy Gordon CCCC Larry Collins Police Jeremy Maners Fire James Thompson Jr. Fire Timothy Green Police Vernon Peterson Police Scott Osborne -l=ire Frank Cummins II Fire Leland Goodman Police Brad Sombke Fire Scott Morrow Police Sean Sutton Fire Shane VanNatter Police 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 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or far us at 317 262 -2222. Be sure to visit our website at www.nti�lmesttoriculogy.com. Page 1 Midwest Toxicology Invo DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/26/2011 241183 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT Fuel Surcharge 1 Fuel Surcharge 07/20/11 10.00 10.00 DOT Test OS 5 DOT Drug Test 56.00 280,00 Collected Onsite 07/21/11 George Kalogeros Street Mark Ottinger Street Scott Townsend Street Damien Delph Street Kristi Clark- Snyder Street DOT Alcohol OS 4 DOT Breath Alcohol Test 28.00 112.00 Collected Onsite 07/21/11 George Kalogeros Street Mark Ottinger Street Damien Delph Street Kristi Clark- Snyder Street Fuel Surcharge 1 Fuel Surcharge 07/21/11 10.00 10.00 ND Drug Test -OS 1 Non -DOT Drug Test n 55.00 55.00 Collected Onsite J 07121/11 Donald Schoeff Jr. Police AUG 0 1 2011 By 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 $1,742.00 Make Checks Payable To: M1_DWEST 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 wrurv.midwesttoxicalogy.cax. Page 2 Midwest 7oxicoCoBy Invoice offl INVOICE 7126(2011 241221 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 4 Civic Square Email results to Barb Lamb cc Jim Carmel, III 46032 Still Mail results to Jim DAC CONTROL P -O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 7 Non -DOT Drug Test 55 -00 385.00 Collected at Community Occ. Health Center Carmel 7121111 Nicklaus Tucker Sarah Harris Ll Brady Myers U 7122111 AUG 01 I'll Robert Pelzer Matthew Broadnax Adam Theis g Zachary Batic DOT Test 2 DOT Drug Test 55,00 110.00 Collected at Community Occ. Health Center Carmel 7/22/11 Kurt Kirby Nathaniel Morris DOT Alcohol CS 1 DOT Breath Alcohol Test 28.00 28.00 Collected at Community Occ. Health Center Carmel 7122111 Nathaniel Morris BAT Surcharge 1 Please note that you are being charged an additional fee due to your 7.00 7.00 collection site breath alcohol charges. 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 $530.00 Make Checks Payable To: MIDWEST TOXICOLOCV 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 wntjw.mid"iesttoxicology.conn. 9itidwest 7oxicofogy I nvo i ce Ser°vices, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/27/201 241315 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss #I! 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim DAC 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 7/25/11 Matthew Hoffman DOT Test 2 DOT Drug Test 55.00 110.00 Collected at Community Occ. Health Center Carmel 7125/11 Mark Carter Eric Russell D Lr—t [J AUG 01 2011 By 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 $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 wehsite at www.inidwesttoxicologj>.cnni. VOUCHER NO, WARRANT NO. ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $2,877.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 21677 240380 43- 588.00 $165.00 1 hereby certify that the attached invoice(s), or 21677 240565 43- 588.00 $55.00 bill(s) is (are) true and correct and that the 21677 I 240670 I 43- 588.00 $55.00 materials or services itemized thereon for 240900 I 43 588.001 $55.00 which charge is made were ordered and 21677 241094 43- 588.00 $110.00 21677 241183 43- 588.00 $1,742.00 received except 21677 241221 43- 588.00 $530.00 21677 241315 43- 588.00 $165.00 Monday, August 01, 2011 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Numbe (or note attached invoice(s) or bill(s)) 07/16/11 240380 $165.00 07/18/11 240565 $55.00 07/19/11 240670 $55.00 07/21/11 240900 $55.00 07/25/11 241094 $110.00 07126/11 241183 $1,742.00 07/26/11 241221 $530.00 07/27/11 241315 $165.00 1 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