162073 07/23/2008 i
CITY OF CARMEL INDIANA VENDOR: 00353237 Page 1 of 1
4� ONE CIVIC SQUARE TESTAMERICA INC
CARMEL, INDIANA 46032 PO BOX 122314 DEPT 2314
CHECK AMOUNT: $224.70
DALLAS TX 75312 -2314 CHECK NUMBER: 162073
CHECK DATE: 712312008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21808444 224.70 CONT SVS- TESTING -S PL
TestAmerica INVOICE
n THE LEADER IN ENVIRONMENTAL TESTING
3601 South Dixie Drive Dayton, OH 45439
339 W. Walton Blvd Pontiac, MI 48340
Invoice Number: 21808444
Invoice To: 1 1406871 Remit Payment To
TestAmerica Laboratorie-S Inc.
Carmel WWTP (Dept 2314
Dave Dye 1'.O. Box 122314
y Dallas, TX 75312 -2314
9609 Hazel Dell Pkwy
Indianapolis, IN 46280 TestAmerica EIN: 23- 2919996
For Billing Inquiries please contact 800 -572 -9839
Invoice Horton Fan _Ann Analysis /Horton Fan Terms:
07/02/08 PO Number: 5 -10403 Net 30 Days
Lab Work Order. Client: Carmel WWTP Payment due:
DRF1439 Client Contact: Teresa Lewis 08/01/08
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 $12.00 $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 $12.00
1 Pb Total EPA 200.7 Water NonPotable 7 Days None $12 $12.00
1 PCBs EPA 608 Water NonPotable 7 Days None $90.00 $90.00
1 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 10.70
Invoice Total: $224.70
Any applicable rush charges are based on the actual turn around -time met.
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.
PO BOX 99742 Terms
Chicago, IL 60690 Due Date 7/15/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2008 21808444 $224.70
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
r,
'7
Date Officer
V7UCHER 085928 WARRANT ALLOWED
00353237 IN SUM OF
TESTAMERICA INC
PO BOX 99742
,Chicago, IL 60690
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
21808444 01- 7352 -05 $224.70
Voucher Total $224.70
ost distribution ledger classification if
laim paid under vehicle highway fund