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Home My WebLink About204743 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358403 Page 1 of 1 ONE CIVIC SQUARE CHARDON LABORATORIES INC 0 CHECK AMOUNT: $759.00 CARMEL, INDIANA 46032 a,ccTS RECEIVABLE a� 7300 TUSSiNG ROAD CHECK NUMBER: 204743 REYNOLOSBURG OH 43068 CHECK DATE: 12/2012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 10072105 759.00 OTHER EXPENSES t CHARD©N LABoRAToREs INVOICE Corporals Service Research Center Invoice No. 10072105 7300 Tussing Road Order No. 00025444 Reynoldsburg, Ohio 43068 1.800, 848,9526 Fax: 614.759.2558 Web: www.chardonlabs.com S OLD ACCOUNTS PAYABLE JEFF COOPER CARMEL WWTP ,CARMEL „WWTP 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 .,..1n IANAPOLIS, IN 46280 �TO include.the applicable chemicals service outlined in'Schedule -for Gaoling Towers;:Schedule 13 for Steam Boilers and /or_ Schedule 14_for_Closed Systems. For detailed information on these schedules, please see you Master Service Agreement 7 10 512893 NET 30 207404 11/30/2011 'EXTENDED PRICE.:' FTF2 FILTER VESSEL 2 GALLON FTF -2DB 684.00 1.00 684.00 t FILTEACH FILTER BAG (ONE ONLY) FOR FTF 14.00 2.00 28.00 ZMISC LID RUBBER GASKETS 9.00 3.00 27.00 i i j REMIT -TO: CHARDON LABORATORIES INC. 739.00 ACCOUNTS RECEIVABLE Sales Total 7300 TUSSING ROAD REYNOLDSBURG, OHIO 43068 Shipping Handling 20.00 Misr. 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 United States Department of Labor issued under Section 14, thereof Less Paid Amount 0.00 Afinance charge of 1.5% per month, 18% annum, will be added to overdue invoices. 759.00 u. VOUCHER 116414 WARRANT ALLOWED 358403 IN SUM OF CHARDON LABORATORIES INC AY I L 46062 e bI j50,Lgi PC) �i 3Ob4' Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 10072105 01- 7202 -05 $759.00 Voucher Total $759.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 12/13/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or biil(s)) Amount 12/13/201' 10072105 $759.00 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 Date Officer