163396 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
0 ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $296.00
CARMEL, INDIANA 46032 PO BOX 1002
o? INDIANAPOLIS IN 46206 -1002
CHECK NUMBER: 163396
CHECK DATE: 9/3/2008
DE PARTMENT ACCO PO NUMBER I NVOIC E NUMB AMOUNT DESCRIPTION
r--
651 5023990 71804 296.00 OTHER EXPENSES.
1
i
SHERWLaboratories
Testing Today Protecting Tomorrow
Remit To: Sherry Laboratories Indiana INVOICE
PO Box 1002
Indianapolis, IN 462061002 Date: 13- Aug -08
Attn:
TEL: 765- 378 -4103 FAX: 765 378 -4109
Invoice TO: Carmel Wastewater Utilities
9609 Hazel Dell Parkway
Carmel, IN 46280
Attn: Mrs. Teresa Lewis
Phone: (317) 571 -2634
Invoice No: M 71804
Work Order: M08071179
Customer Number: 1088
PO Number:
Order Name Sludge Samples Invoice Date: 13- Aug -08
Date Received 7/22/2008 Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mull 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.
800Z 0 9 l mid
I of I
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc. 3
Payee
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206 -1385 Due Date 8/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008. 71804 $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
12 -7 2 C
Date Officer
VOUCHER 086160 WARRANT ALLOWED
351367 IN SUM OF
`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
71804 01- 7352 -05 $296.00
i+
,a.
Voucher Total $296.00
Cost distribution ledger classification if
claim paid under vehicle highway fund