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Home My WebLink About200540 08/17/2011 a CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $220.00 «o INDIANAPOLIS IN 46204 CHECK NUMBER: 200540 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 21677 241445 110.00 TESTING FEES 1201 R4358800 21677 241660 55.00 TESTING FEES 1201 R4358800 21677 242085 55.00 TESTING FEES 5Widwest Toxicology Invo off DATE INVOICE# 7/29/2011 .2420$5 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Mtn: Jim Spelbring on invoices no ss I Civic Square Email results to Barb Lamb cc Jim Still Mail results to Jim Carmel, IN 46032 NB CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 552$ Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test -OS 1 Non -DOT Drug Test 55.00 55.00 Collected Onsite at City of Carmel 712'1111 Gregory Dewald D, AUG 15 2011 By A finance charge will be assessed on all invoices not paid in 30 days. 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 its at 317 262 -2222. Be sure to visit our wehsite at www.niidwesttoxicolog} %com. Widwest To.xicofogy In voice 0 9 *i i c. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7131 /2411 241660 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 DOT Test 1 DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel 7/25/11 Jason W. Ogle AUG 15 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: [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.coin. Mid i west 7o icoCo x gy _Services, Inc OOD� v' DATE INVOICE dx t 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/28/2011 241445 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 7124111 Jeff Fuchs 7/26/11 Kyle Condra D Q AU -0% 2011 )5 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 317 -262 -2200 or fax us at 317 262 2222. Be sure to visit our wehsite at wrv►�cniidwesttoxicology.coni. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 1 &RV) dt-� 3Z c' �m�� U�(ZC�UL Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7 A- 00 7' �10�'S� r .55�L Total v U 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 NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or )jag 1/ S �3 Ob IJ6, bill(s) is (are) true and correct and that the �z 0 b'S 43 "5��' S5. 00 materials or services itemized thereon for 0 2 7 (v 0 00 5 which charge is made were ordered and received except 20 E�nat e Cost distribution ledger classification if Title claim paid motor vehicle highway fund