155926 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00353237 Page 1 of 1
ONE CIVIC SQUARE TESTAMERICA INC
CARMEL, INDIANA 46032 Po BOX 4305 CHECK AMOUNT: $130.20
PHILADELPHIA PA 19175 -4305 CHECK NUMBER: 155926
CHECK DATE: 1123/2008
DE i PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
F'S1 5023990 21800187 130.20 CONT SVS- TESTING -S PL
TestAmerica INV ®ICE
rHE LEADER IN ENVIRONMENTAL. TESTING
360.1 South Dixie Drive Dayton, OH 45439 800 -572 -9839 Fax:937- 294 -7816
Invoice To: 1406871 Invoice Number: 21800187
Remit Payment Ta
Carmel WW'TP TestAmerica Laboratories, Inc.
Dave Dye BOX 4305
9609 Hazel Dell Pkwy Philadelphia, PA 19175 -4305
Indianapolis IN 46280 TestAmerica FIN: 23- 2919996
For Billing Inquiries please contact 800 -572 -9839
Invoice Date: Project: Horton Fan Terms:
Oi;0 5 PO Number: S -10403 30
Lab Work Order. Client: Carmel WWTP Payment due:
DQL1393 Client Contact: Tara Rubush 02/04/08
Lab Contact: Deidre Taylor
Rush Unit Extended
Quantity Analysis/Description Matrix TAT Charge Cost Cost
I Ag Total EPA 200.7 Water NonPotable 10 Days None $12.00 $12.00
1 Cd Total EPA 200.7 Water NonPotable 10 Days None $12 $12.00
1 Cr Total EPA 200.7 Water NonPotable 10 Days None $12 $12.00
1 Cu Total EPA 200.7 Water NonPotable 10 Days None $12 $12.00
1 Cyanide Total EPA 335.4 Water NonPotable 10 Days None $30.00 $30.00
1 Ni Total EPA 200.7 Water NonPotable 10 Days None $12.00 $12.00
1 Pb Total EPA 200.7 Water NonPotable 10 Days None $12.00 $12.00
1 pH EPA 150.1 Water NonPotable 10 Days None $10.00 $10.00
I Zn Total EPA 200.7 Water NonPotable 10 Days None $12.00 $12.00
Additional Items
1 Environmental Management Fee 6.20
Invoice Total: $130.20
Any applicable rush charges are based on the actual turn around -time met.
RECD J A N 2008
OI.
Please pay from this invoice no statement will be rendered unless requested. Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 -5 (Rev. 1995)
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
J �t,
Officer Title
,.Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
N0.
CARMEL, INDIANA
i
l eS t ��l1 k CA Favor Of
Total Amount of Voucher
2 l OG($ D eductions
O
Amount of Warrant Q
Month of 19
VOUCHER RECORD Not
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325