The URL can be used to link to this page

Home My WebLink About200949 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $420.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 200949 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 21677 242396 35.00 TESTING FEES 1201 R4358800 21677 243437 110.00 TESTING FEES 1201 R4358800 21677 243629 55.00 TESTING FEES 1201 R4358800 21677 243687 165.00 TESTING FEES 1201 R4358800 21677 244046 55.00 TESTING FEES W1 Widwest 7oxicotogy Invo 04� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 8/25/2011 244046 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 -M... 1 Non -DOT Drug Test 55.00 55.00 Collected at Midwest Indianapolis 08/22/11 Amadou Diallo DLN 166073 -6225 Utilities D /sue_` AUG 2 9 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• ivebsite at www.in idwesttoxicology.coin. Midwest 7oXicofogy UQ Invoi DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 F8/22/201 1 243687 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 EAA 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 8118111 Andrew A. Carson 8/19111 Josh A. Davis DOT Test 1 DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel 8119111 Jeff Cooper I_I AUG 2 9 <ijli By— 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 $1 65.00 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.eom. Midwest ToXicology Z VI 2 Invoice 09*% iDATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 8/19/2011 243629 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss Email results to Barb Lamb cc Jim 1 Civic Square 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 DOT Drug Test 55.00 55.00 Collected at St. Vincent Carmel Hospital 4119/11 Robert Vanvoorst Note: During account audit we found these tests had not been invoiced. If you have any questions, please call Team 1 at 317- 269 -3001. f AUG 2 9 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.com. M idwest 7o. icotogy In vo i ce m DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 8/18/2011 243437 BILL TO: SHIP TO: City of Carmel fumes 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 EAA CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test 2 Non -DOT Drug Test 55.00 110.00 Collected at Community Occupational Health Center Carmel 8/16/11 Courtney N. Denny Rachell J. Vaughan z U AUG 2 9 2011 By 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 $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 wwmmidwesttoaicology.com. Midwest 2oxicoCogy 2 lUr7q Invoice @49i DATE INVOICE 8/12/2011 242936 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 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 Alcohol CS 1 DOT Breath Alcohol Test 28.00 28.00 Collected at Community Occupational Health Carmel 7/25/11 Mark Carter 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. D Q 2 9 2011 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 $35.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website a£ www.nzidwesttoaicoiogj.conz. VOUCHER NO. WARRANT NO, Midwest Toxicology ALLOWED 20 IN SUM OF$ 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $420.00 ON ACCOUNT OF APPROPRIATION FOR i Carmel HR-Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 21677 242936 43- 588.00 $35.00__ I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 21677 243437 43- 588.00 $110.00: materials or services itemized thereon for 21677 243629 43- 588.00 $55.00 which charge is made were ordered and 21677 243687 43- 588.00 $165.00 received except 21677 244046 43- 588.00 $55.00 Monday, August 29, 2011 Director, HR Title Cost distribution (edger 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 Number (or note attached invoice(s) or bill(s)) 08/12/11 242936 $35.00 08/18/11 243437 $110.00 08/19/11 243629 $55.00 08/22/11 243687 $165.00 08/25/11 244046 $55.00 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