160541 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361100 Page 1 of 1
F ONE CIVIC SQUARE QUALITY CONTROL SALES SERVICE
CARMEL, INDIANA 46032 5803 W 73RD STREET CHECK AMOUNT: $152.50
INDIANAPOLIS IN 46278 CHECK NUMBER: 160541
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
651 5023990 S11121 043899 152.50 REPAIR GAUGES
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ALHY
L A2LA Accredited Laboratory Invoice Number: 043$99
ISOIIEC 17025 Invoice Cate: May 27, 2008
5803 West 73rd Street Page: 1
Indianapolis, iN 4 62 78 -1 743
Phone: 317-29"855
Fax: 317- 299 -8960
ijI Fo Il Rao::::::::::::::::
Carmel Utilities, City of Carmel Carmel Utilities, City of Carmel
Water Wastewater Water ll astevater
760 Third Avenue SW, Suite 110 760 Third Avenue SW, Suite 110
Carmel, IN 46032 Carmel, IN 46032
Phone 317 571 -2443
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CARMELUTIL!TIE S 511121 Net 30 Days
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djllos UPS Ground 5x27108 6!26/08
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2,00 001..: Evaluation fee for Tr ®rice Pressure Gages s/n QUA -91606 and QUA 91604, 35.50 71.00
Unable to repair or calibrate.
1.00 002.., Pressure Gage Trerice sin QUA -90275 calibrated and certified 38.50 38.50
Su btotal 109.50
pl ate s „Training..Consu It! ng Sales Tax.
Serving the quality needs of industry for Freight 43.00
over45years!
0TH.
Our sincere thanks for your valued business
White copy- Mail to Customer copy Packing slip Fink copy- QCSS
VOUCHER 085628 WARRANT ALLOWED
A361100 IN SUM OF
QUALITY CONTROL SALES SERVICE
5803 W 73RD ST
INDIANAPOLIS, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
043899 01- 7362 -05 $152.50
P
Voucher Total $152.50
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER-
CITY OF CAR'MEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
361100
QUALITY CONTROL SALES SERVICE Purchase Order No.
5803 W 73RD ST Terms
INDIANAPOLIS, IN 46278 Due Date 6/4/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2008 043899 $152.50
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5 1' 11- 10 -1.6
Date Officer