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159066 04/30/2008 CITY OF CARMEL INDIANA VENDOR: 00351367 Page 1 of 1 ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $160.00 CARMEL, INDIANA 46032 PO BOX 1002 LftoH �a' INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 159066 CHECK DATE: 4130/2008 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4238900 M67319 160.00 OTHER MAINT SUPPLIES DECEIVED APR h08 SHERRY Laboratodes 2 �v: Testing Today- Protecting Tomorrow i �0 I iw Sherry Laboratories DATE: 31- Mar -08 Remit To: Sherry Laboratories Indiana INV OICE PO Box 1002 Indianapolis, IN 462061002 Attn: TEL: 765- 378 -4103 FAx: 765 378 -4109 Invoice To: The Monon Center 1235 Central Park Drive East Invoice Number: M 67 Carmel, IN 46032 Customer Number: 13185 Attn: Terry Myers Payment Due Date: 30- Apr -08 Phone: (317) 573 5239 Payment Terms: Net 30 Days Item Remarks Matrix Qty Mult Unit Price Test Total WorkOrder: M08020793 PO Number: Date Received: 3/4/2008 Pool Samples Pool Aqueous 2 1 $20.00 $40.00 Test TOTAL: $40.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $40.00 WorkOrder: M08021015 PO Number: Date Received: 3/11/2008 Pool Samples Pool Aqueous 2 1 $20.00 $40.00 Test TOTAL: $40.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $40.00 WorkOrder: M08030317 PO Number: Date Received: 3/18/2008 Pool Samples Pool Aqueous 2 1 $20.00 $40.00 Test TOTAL: $40.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $40.00 1 of 2 SHERRYLaboratories Testing Today Protecting Tomorrow® s Invoice TO: The Monon Center 1235 Central Park Drive East Invoice Number: M 6731.9 Carmel, IN 46032 Customer Number: 13185 Attn: Terry Myers Payment Due Date: 30- Apr -08 Phone: (317) 573 -5239 Payment Terms: Net 30 Days Item Remarks Matrix Qty Mult Unit Price Test Total WorkOrder: M08030594 PO Number: Date Received: 3/25/2008 Pool Samples Pool Aqueous 2 1 $20.00 __$40.00 Test TOTAL: $40.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $40.00 Please Refer to Invoice Number on Remittance Invoice TOTAL: $160.00 2 of 2 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. Sherry Laboratories P.O. Box 1002 Date Due Indianapolis, IN 46206 -1002 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/31/08 M67319 Pool Water Testing 160.00 Total 160.00 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 loucher.No. Warrant No. Allowed 20 Sherry Laboratories P.O. Box 1002 Indianapolis, IN 46206 -1002 In Sum of 160.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 M67319 4238900 160.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 22 -Apr 2008 6v* ignat e 160.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund