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Home My WebLink About203550 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $110.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 203550 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 249781 55.00 TESTING FEES 1201 4358800 250277 55.00 TESTING FEES Widwest 7oXicoCogy Invoice Services, Inc Z t? DATE INVOICE b 10/26/2011 250277 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim DAC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center (MedCheck) Carmel 10/21/11 Brady Myers D NOV 7 2011 By A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOa1COLOCI' SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax us at 317 262 -2222. Be sure to visit our website at rvwtiv.ntidrvesttoxicologp.coia. SKidwest Toxicofogy I Q'= Services, Inc Z" DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 10/20/2011 249781 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Jim Spelbring on invoices no ss 1 Civic Square Email results to Barb Lamb cc Jim Carmel, IN 46032 Still Mail results to Jim DAC CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center (MedCheck) Carmel 10/19/11 William Kellam D Q NOV 7 2011 By A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax its at 317 262 2222. Be sure to visit our wehsite at www.inidwesttoxicology.cont. Prescribed by State Board of Accounts I 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date N u m be r or n attached inv oice(s) o b 10/20/11 249781 $55.00 10/26/11 250277 $55.00 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 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Midwest Toxicology IN SUM OF 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $110.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 120 249781 43- 588.00 $55.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1201 250277 43- 588.00 $55.00 materials or services itemized thereon for which charge is made were ordered and received except Monday, November 07, 2011 Directo HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund