165458 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00353237 Page 1 of 1
ONE CIVIC SQUARE TESTAMERICA INC
CARMEL, INDIANA 46032 PO BOX 122314 DEPT 2314 CHECK AMOUNT: $130.20
DALLAS TX 75312 -2314
CHECK NUMBER: 165458
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 21812267 130.20 CONT SVS- TESTING -S PL
0/l to /P
TestAmerica Per Jef INV ®ICE
THE LEADER IN ENVIRONMENTAL TESTING lV l�`lDt
4738 Gateway Circle Dayton, OH 45440
339 W. Walton Blvd Pontiac, Ml 48340
Invoice Number: 21812267
Invoice To: 1406871 Remit Payment To:
TestAmerica Laboratories, Inc.
Carmel WWTP Dept 2314
Dave Dye P.O. Box 122314
y Dallas, TX 75312 -2314
9609 Hazel Dell Pkwy
Indianapolis, IN 46280 TestAmerica FIN: 23- 2919996
For Billing Inquiries please contact: 800 -572 -9839
I n o- Horton Fan Anm!al Analvsic /Horton Fan T
nro:cc .,a.c. Pre,ject: Te...s:
10/06/08 PO Number: •S- }993- Net 30 Days
Lab Work Order: Client: Carmel WWTP Payment due:
DRI1348 Client Contact: Teresa Lewis 11/05/08
Lab Contact: Deidre Taylor
Rush Unit Extended
Quantity Analysis/Description Matrix TAT Charge Cost Cost
1 Ag Total EPA 200.7 Water NonPotable 7 Days None $12. $12.00
1 Cd Total EPA 200.7 Water NonPotable 7 Days None $12 $12.00
1 Cr Total EPA 200.7 Water NonPotable 7 Days None $12.00 $12.00
1 Cu Total EPA 200.7 Water NonPotable 7 Days None $12.00 $12.00
1 Cyanide Total EPA 335.4 Water NonPotable 7 Days None $30.00 $30.00
1 Ni Total EPA 200.7 Water NonPotable 7 Days None $12.00 $12.00
1 Pb Total EPA 200.7 Water NonPotable 7 Days None $12.00 $12.00
1 PCBs EPA 608 Water NonPotable 7 Days None $0.00 $0.00
I pH EPA 150.1 Water- NonPotable 7 Days None $10.00 $10.00
1 Zn Total EPA 200.7 Water NonPotable 7 Days None $12.00 $12.00
Additional Items
1 Environmental Management Fee 6.20
Invoice Total: $130.20
Any applicable rush charges are based on the actual turn- around -time met.
PCBs are at 0 because they were cancelled. DT 10/6/8.
Page 1 of 1
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.
Payee
00353237
TESTAMERICA INC Purchase Order No. ;t
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 10/22/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/200 21812267 $130.20
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
io X 3 /1 9
Date Officer
I
VOUCHER 086528 WARRANT ALLOWED
00353237 IN SUM OF
TESTAMERIC_A INC
Carmel Wastewater Utility
—'bN ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
21812267 01- 7352 -05 $130.20
e Voucher Total $130.20
Cost distribution ledger classification if
claim paid under vehicle highway fund