HomeMy WebLinkAbout203805 11/21/2011 a CITY OF CARMEL, INDIANA VENDOR: 358403 Page 1 of 1
ONE CIVIC SQUARE CHARDON LABORATORIES INC CHECK AMOUNT: $1,186.00
CARMEL, INDIANA 46032 PO BOX 1004
ACCT RECV CHECK NUMBER: 203805
COLUMBUS OH 43216 -1004
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I0070836 1,186.00 OTHER EXPENSES
C,` 4ARDON LABORATORIES
Corporate Service Research Center Invoice No. 10070836
7300 Tussing Road Order No. 00024943
Reynoldsburg, Ohio 43068 Shipper ID S0071801
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
a Oil= e
ACCOUNTS PAYABLE JOE FAUCETT
CARMEL WWTP CARMEL WWTP
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
To include the applicable chemicals service outlined in Schedule 12 for Cooling Towers, Schedule 13 for Steam Boilers and /or Schedule 14 for Closed Systems. For detailed
infoFination on these schedules, please see you Master Service Agreement.
S12830 NET 30 207404 10/31/2011
o e 1111110130 o I MMI&IN9W
FTF2 FILTER VESSEL 2 GALLON FTF -2DB 0.00 1.00 0.00
FILTEACH FILTER BAG (ONE ONLY) FOR FTF 0.00 6.00 0.00
SN10.05 SN -10 5 GALLON 0.00 1.00 0.00
ZEQPACK W.T. EQUIPMENT PACKAGE WHICH INCLUDES THE FOLLOWII 1,156.00 1.00 1,156.00
ZSERVICE SERVICE INSPECTION 0.00 1.00 0.00
I
REMIT TO: CHARDON LABORATORIES, INC. Sales Total 1 ,156.00
ATTN: ACCOUNTS RECEIVABLE
7300 TUSSING ROAD
REYNOLDSBURG, OHIO 43068 Shipping Handling 30.00
Misc. Charges 0.00
We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00
requirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended and on regulation and orders of the 1,186.00
United States Department of Labor issued under Section 14, thereof. Less Paid Amount 0.00
Atinance charge of 1.5% per month, 18% annum, will be added to overdue invoices.
0 1,186.00
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
358403
CHARDON LABORATORIES INC Purchase Order No.
16121 CHANCELLORS RIDGE WAY Terms
NOBLESVILLE, IN 46062 Due Date 11/16/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/16/201' 10070836 $1,186.00
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.
J
Date fficer
VOUCHER 116266 WARRANT ALLOWED
358403 IN SUM OF
CHARDON LABORATORIES INC
16121 CHANCELLORS RIDGE WAY
NOBLESVILLE, IN 46062
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
10070836 01- 7202 -05 $1,186.00
Voucher Total $1,186.00
Cost distribution ledger classification if
claim paid under vehicle highway fund