165429 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO Box 1002
CHECK AMOUNT: $736.00
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 165429
CHECK DATE: 10129/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 74159 296.00 OTHER EXPENSES
1047 4238900 M73555 440.00 OTHER MAINT SUPPLIES
SHERRYLaboratodes
Testing Today Protecting Tomorrow
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002 Date: 21- Oct -08
Attn:
TEL: 765 378 -4103 FAX: 765 3784109
Invoice To: Carmel Wastewater Utilities
9609 Hazel Dell Parkway
Carmel, IN 46280
Attn: Mrs. Teresa Lewis
Phone: (317) 571 -2634
Invoice No: M 74159
Work Order: M08100373 Customer Number: 1088
PO Number: j k 4 1 4
Order Name Sludge Samples Invoice Date: 21- Oct -08
Date Received 10/7/2008 Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mutt Unit Price Test Total
Fecal Coliforms, dry wt. Sludge 8 1 $25.00 $200.00
SOLIDS, Total Soil 8 1 $12.00 $96.00
Order TOTAL: $296.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments Misc Charges: $0.00
Subtotal: $296.00
Payment Received: $0.00
Please Refer to Invoice
Number on Remittance INVOICE Total $296.00
All invoices are due and payable net 30 days from receipt.
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
t
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206 -1385 Due Date 10/22/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/2001 74159 $296.00
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- 11- 10 -1.6
Date Officer
VOUCHER 086550 WARRANT ALLOWED
351367 IN SUM OF
e
SHERRY LABORATORIES INC.
P.O. BOX 1385
INDIANAPOLIS, IN 46206 -1385
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
74159 01- 7352 -05 $296.00
Voucher Total $296.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
R R�3 ECEIVE.—
SHERRYLaboratories
77�
Testing Today Protecting Tomorrow® i=w=
Sherry Laboratories DATE: 3Q- Sep -08
Remit To: Sherry Laboratories Indiana INV OICE
PO Box 1002
Indianapolis, IN 462061002 REC,FfV"FD
Attn: OCT 2 1 2008
TEL: 765- 378 -4103 FAX: 765 378 -4109
BY:
Invoice To: The Monon Center
1235 Central Park Drive Past Invoice Number: M 73555
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 30- Oct -08
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M08080551 PO Number: Date Received: 8/19/2008 Pool Samples
Pool Aqueous g 1.... $20.00 $160.00
Test TOTAL: $160:00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $160.00
WorkOrder: M08080960 PO Number: Date Received: 8/26/2008 Pool Samples
Pool Aqueous 6 1 $20.00 $120.00
Test TOTAL: $120.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $120.00
WorkOrder: M08081399 PO Number: Date Received: 9/2/2008 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
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1
SHERRYLaboratories
Testing Today Protecting Tomorrow®
Invoice To: The Monon Center
1235 Central Park Drive East Invoice Number: M 73555
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 30- Oct -08
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M08090119 PO Number: Date Received: 9/9/2008 Pool Samples
Peal 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: M08090423 PO Number: Date Received: 9/16/2008 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: M08090654 PO Number: Date Received: 9/23/2008 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: $440.00
Purchase
Description
P.O. `1 3 r IF
o .L .e,._._...
Budget
Line Descr
Purchaser
App Date�r:..:1 Uss
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t 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. 17753 P
00351367 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
10/30/08 M73555 Pool water tests 440.00
Total 440.00
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
00351367 'Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
440.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 M73555 4238900 440.00 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 -Oct 2008
Signature
440.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund