169324 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350417 Page 1 of 1
D ONE CIVIC SQUARE A&L GREAT LAKES LABORATORIES, IN
CARMEL, INDIANA 46032 3505 CONESTOGA DRIVE ECK AMOUNT: $622.Ob
FORT WAYNE IN 46806 -4413
CHECK NUMBER: 165324
CHECK DATE: 31412003
DEPARTMENT. ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 795847 348.55 OTHER EXPENSES
651 5023990 796171 273.50 OTHER EXPENSES
1
A L GREAT LAKES LABORATORIES, INC.
3505 Conestoga Dr. Fort Wayne, IN 46808 260- 483 -4759 FAX 260- 483 -5274
www.algreatlakes.com Iab@algreatlakes.com AL
QUALITY ANALYSES FOR INFORMED DECISIONS
For° l l,I n l ,IIk I II III I I I III
II I IlI I lI lI I I Ilil Account No 14014
INVOICE
Carmel WWTP Purchase Order No S11469
Teresa Lewis invo,ce No 795847
9609 Hazel Dell Parkway ;Payment Terms Net 30 Days
Indianapolis, IN 46280 -2935 m;
invoke Date 1/31/2009
u 2/28/2009
Federal ID No. 35-1381134 r, l7e Date
r 4 ,.2... _<'.<'.'Y k: E +.,n5'�k A� v. x4
Date I :Re ort•No. Ref No., IdenUficattan ty P„
r a i p Lis Your Cost
Quanti Descri tion Y
5 our Cost te,�
01/19/09 F09009 -8003 795847 SLUDGE PRODUCED 1 UPS Return Ship 6 Ibs 5.65 5.65 5.65 5,65
DECEMBER 2008 PCB'S
01/19/09 F09009 -8003 795847 SLUDGE, PRODUCED 1 Land Application Package II 239.50 215.55 239.50 215.55
DECEMBER 2008 PCB'S
01/19/09 F09009 -8003 795847 SLUDGE PRODUCED 1 Fecal Coliform 26.00 23.40 26.00 23.40
DECEMBER 2008 PCB'S
01/19/09 F09009 -8003 795847 SLUDGEjPRODUCED 1 Solids, Total 10.50 9.45 10.50 9.45
DECEMBER 2008 PCB'S
01/19/09 F09009 -8003 795847 SLUDGE�PRODUCED 1 PCB Sample Extraction Date 0.00 0.00 0.00 0.00
DECEMBER 20081 PCB'S
01119/09 F09009 -8003 795847 SLUDGE PRODUCED 1 PCB, Total 105.00 94.50 105.00 94.50
DECEMBER 20081 PCB'S
I
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1 TOTAL �THI$ PERIOD $386.65
VOLUMED $38.10
CURRENT PERIOD CIiARGES $348.55
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A L GREAT LAKES LABORATORIES,, INC.
3505 Conestoga Dr. Fort Wayne, IN 46808 260- 483 -4759 FAX 260- 483 -5274 At www.algreatlakes.com lab ®algreatlakes.com
QUALITY ANALYSES FOR INFORMED DECISIONS
for IIIIIlllllllllllilllll INVOICE AccountNo 14014
q
a Carmel WWTP i Purchase Noy
Teresa Lewis �1 �3 'Invoke No 796171
9609 Hazel Dell Parkway �ayme Net 30 Days
Indianapolis, IN 46280 -2935
Invoice 1/31/2009
a
Federal ID No. 35-1381134 Du 2/28/2009
t
w ._x,w a an i Des tion
Date ,'Re ort,No.... RefNo., Identification ,Qu t tit
3 p L ist YoarCost List Your Cost•u
Da y r 3 .fir
01/19/09 F09014 -8002 796171 1/2/314/5/6/7 7 FECAL 36.50 32.85 255.50 229.95
01/19/09 F09014 -8002 796171 1 /2 /3/4/5/6/7 1 UPS Return Ship 6 Ibs 5.65 5.65 5.65 5.65
01/19/09 F09014 -8002 796171 1 12/3/4/5/6/7 1 Fecal Coliform /MPN Class A 36.00 32.40 36.00 32.40
01/23/09 F09022 -8002 796558 BIOSOLIDS DIGESTER 4 -C1 1 UPS Return Ship 5 Ibs 5.50 5.50 5.50 5.50
01/23/09 F09022 -8002 796558 BIOSOLIDS DIGESTER 4 -C1 1 FECAL 36.50 0.00 36.50 0.00
01/23/09 F09022 -8002 796558 BIOSOLIDS DIGESTER 4 -C1 1 Fecal Coliform /MPN Class A 36.00 0.00 36.00 0.00
TOTAL THIS PERIOD $375.15
VOLUME DISCOUNT'` $101.65
4 CURRENT PERIOD CHARGES $273.50
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Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) r
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
350417
A &L GREAT LAKES LABORATORIES, I Purchase Order No.
3505 CONESTOGA DRIVE Terms
FORT WAYNE, IN 46808 -4413 Due Date 2/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2009 795847 $348.55
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
L.L /a �i"` D'l"'� ,/fin
Date Officer
VOUQ ER 095086 WARRANT ALLOWED
3 -50417 IN SUM OF.
A &L GREAT LAKES LABORATORIES, I
3505 CONESTOGA DRIVE
FORT WAYNE, IN 46808 -4413
Carmel Wastewater Utility
0- ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
p 0 �k4 795847 01- 7352 -05 $348.55
1
o 1� y 1 U 7( 01.1 233,50
P
Voucher Total $3
Cost distribution ledger classification if
claim paid under vehicle highway fund