205596 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 PO BOX 7048, GROUP 3
INDIANAPOLIS IN 46207 -7048 CHECK NUMBER: 205596
CHECK DATE: 1/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 66897 200.00 OTHER CONT SERVICES
Sherry Laboratories lndianu, LLC Print Date: December 30, 2011
SHERRY Indianapolis, ea, 7043, 07.7,4 3
1N 46207 -7043
LABORATORIES TEL: 765- 373 -4141
fir; ;�rir;r raoa�. rrxo?rc .o•wuut7 +v Websi7e: mov.Sherrldabs.con7
Carmel Clay Parks and Recreation Invoice Number 66897
Paula Schlemmer Invoice Date: December 30, 2011
Monon Center Client ID: NIONON CENTER
1411 E 116th Street
Carmel, IN 46032 Terms: Net 30
TEL(317) 573_5239
REMITTANCE SUMMARY
Order Customer Project Name Customer P.O. Total
11120301 $40.00
11121325 $40.00
11122419 $40.00
11123009 $40.00
11123396 $40.00
Invoice Total: $200.00
Purchase Pn� c3n��
\t.l Holt I. i
Description v
P.O. 50 RRP V� �P �r F 0 RUT V IR
G.L. I 0 9 y 43 0 JAN 0 3 1011
Dirioet 6e► Jl
Unp. Descr u i
Purchaser Date
Approval Date
An Sherry Laboiwiories hidtana, LL.0
PO Box 7048, Group 3 INVOICE
T T 1 CE
H ER RY lndiancrpofi,r, IN 46207- 7048
4 &_03 i,A60RATb>Z[ES TEL, 765 378 4141 Invoice Date: Decernber30, 2011
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Invoice No: 66897
Client PO
Account Code: 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks and Recreation Sherry Laboratories Indiana, LLC
Paula Schlemmer John Rigdon
Monon Center PO Box 7048, Group 3
141 t E 116th Street Indianapolis, IN 46207 -7048
Carmel, IN 46032 TEL: 765- 378 -4141
WorkOrder Test Total Misc, Charge Total Discount Surcharge WorkOrder Total
11120301 $40.00 $0.00 0 0 $40.00
11121325 $40.00 $0.00 0 0 $40.00
11122419 $40.00 $0.00 0 0 $40.00
11123009 $40.00 $0.00 0 0 $40.00
11123396 $40.00 $0.00 0 0 $40.00
Please Pay this amount $200.00
Sample Details: Analysis Remarks Price
Workorder 11120301
Lab Sample ID: 1 11 20301 -002
Date Received: 11/30/11 Standard Plate Count $14.00
Client Sample ID: Indoor Lap Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name:
JAN 0 3 2012
Purchase
Description
P.O.# PorF
G.L.
Budget
Line Descr
Purchaser Date
Approval Date
Page 2 of 8
Shen) l aboralories Indiana, LLC
ro arc 7oaa, Group 3 INVOICE
may
Cyr indianapolis, 1A
t,A 8 o R fsTO tt I eos TEL: 765- 37s -41;� I Invoice Date: December 30, 2011
Print Date: December 30, 2011
TC,rw ING 70040V. rrtUra, C'YtiaG 70MOP ROW hYeb sire: 1u1u1V.,SlI elTViabS.COln
Invoice No: 66897
Client P0:
Account Code. 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks and Recreation Sherry Laboratories Indiana. LLC
Paula Schlemmer John Rigdon
Monon Center PO Box 7048, Group 3
1411 C 1 16th Street Indianapolis, IN 46207 -7048
Carmel, FN 46032 TEL: 765 -378 -4141
Lab Sample ID: 11120301-001
Date Received: 11/30111 Standard Plate Count $14.00
Client Sample ID: Indoor Activity Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name.
Test TOTAL: $40.00
Discount: 0.0%
Surcharge: 0.0%
Miscellaneous Charges: $0.00
Total Workorder Amount: $40.00
Comments:
Work0rder 11121325
Lab Sample ID: 11121325 -002
Date Received: 12/07/11 Standard Plate Count $14.00
Client Sample ID: Indoor Lap Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name:
Page 3 of 8
Sherry taboralories Indiana, LLC
'S PO Box 7043, Group 3 IN VOICE
OICE
S E R R I Indianapolis, IN 46207 -7043
LAt30RAT0RIF-S T1(.:765- 373 -4141
Invoice Date: December 30, 2D11
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Print Date: December 3Q, Z011
Invoice No: 66897
Client PO:
Account Code: 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks and Recreation Sherry Laboratories Indiana, LLC
Paula Schlemmer John Rigdon
Nlonon Center PO Box 7048, Group 3
141 1 E 116th Street Indianapolis, IN 46207 -7048
Carmel, IN 46032 TEL: 765- 378 -4141
Lab Sample ID: 11121325-001
Date Received: 12107/11 Standard Plate Count $14.00
Client Sample ID. Indoor Activity Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name:
Test 1OTAL: $40.00
Discount: 0.0%
Surchar e: 0.0%
Miscellaneous C11.11 $0.00
Total Workorder Amount: $40.00
Connuents:
WorhQrder 11122419
Page 4 of 8
An SherrY Laboratories MdOW, LLC TAT PO Box 7048, Group IN VO I CE
VOICE
vis E R Indianapolis, IN 46 20 7 -7048
LABORATORIES TEL. 765 375 -4141 Invoice Date: December 30, 2011
zCu`ri a �c bhv. Rwe�;' c �wr. Y4MCAf�R4?W Print Date: DeCer»be1' 30, 2011
Websire: mor.Sherrvlabs.com
Invoice No: 66897
Client PO:
Account Code: 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks ind Recreation Sherry I.,aboratories Indiana, LLC
Paula Schlemmer John Rigdon
N1011011 Center PO Box 7048, Group 3
1411 h 116th Street Indianapolis, IN 46207 -7048
Carmel, IN 46032 TLL: 765- 378 -4141
Lab Sample ID: 11122419 -001
Date Received: 12/14/11 Standard Plate Count $14.00
Client Sample ID: Indoor Activity Pool TOTAL COLIFORM by PIA $6.00
Matrix Pool
SDG:
Project Name:
Lab Sample ID: 11122419-002
Date Received: 12/14/11 Standard Plate Count $14.00
Client Sample ID: Indoor Lap Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name:
Page 5 of 8
Sherri Laboratories Indiana, LLC �7
1 Po 13r�.i 7048, Group 3 I
Indianapolis, IN 4620 7- 7048
LABORATORIES TEL 765- 378 -4141 Invoice Date: Decer��ber 3�, 2011
7r: �l.�:c.r<ac7hr uRp)a2�7irur YCrr�OPROW Wrebsue: www.SherrVlabs.cour Print Date: ,�BC2771>'JL'1' 3�, 2��
Invoice No: 66897
Client P0:
Account Code: 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks and Recreation Sherry Laboratories Indiana, L.LC
Paula Schlemmer John Rigdon
Motion Center 1 Box 7048 Group 3
1411 L 1 16th Street Indianapolis, IN 46207 -7048
Carmel, IN 46032 11-I..: 765 -378 -4141
4
Test TOTAL: $40.00
Discount: 0.0%
Surehar e 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $40.00
Conuntcnts:
WorkOrder 11123009
Lab Sample ID. 11123009-002
Date Received: 12121/11 Standard Plate Count $14.00
Client Sample ID. Indoor Lap Pool TOTAL COLIPORM by P1A $6.00
Matrix: Pool
SDG:
Project Name:
Page 6 of 8
SherrY Lerborotories Indiana, LLC
PO Boa 7048, cr TA7 ar p 3 IN VO I CE
VOICE
40 ,.*S HE RRY Indianapolis, IN 46207 -7048 Invoice Date: December• 30, 2011
LABORATORIES TF,L: 765- 378 -4141
rEsr -t-, r(Urv_VR ;VCc11N�c°rn- taRROW FNebsile: +vwiv.Slrerr7�labs.conr Print Date: December 3�, 2 11
Invoice No: 66897
Client P0:
Account Code: 13185
INVOICE TO: Client ID: MONON CENTER REMIT TO:
Carmel Clay Parks and Recreation Sherry Laboratories Indiana, LLC
Paula Schlemmer John Rigdon
Monon Center PO Box 7048, Group 3
1411 E 116th Street Indianapolis, IN 46207 -7048
Carmel, IN 46032
TEL- 765-378-4141
Lab Sample ID'. 11123009 -001
Date Received: 12/21/11 Standard Plate Count $14.00
Client Sample ID: Indoor Activity Pool TOTAL COLIFORM by P/A $6.00
Matrix: Pool
SDG:
Project Name:
Test TOTAL: $40.00
Discount: 0.0%
St e: 0.0%
miscellaneous Charges: $0.00
Total Workorder Amount:1 $40.00
Comments:
WorkOrder 11123396
Lab Sample ID: 11123396-001
Date Received: 12/28/11 Standard Plate Count $14.00
Client Sample ID: Indoor Activity Pool TOTAL COLIFORM by PIA $6.00
Matrix: Pool
SDG:
Project Name.
Lab Sample ID: 11123396-002
Date Received: 12!28111 Standard Plate Count $14.00
Client Sample ID: Indoor Lap Pool TOTAL COLIFORM by PlA $6.00
Matrix: Pool
SDG:
Project Name:
Page 7 of 8
SHERRY Sherry Laboratories btchapi r, LLC
a, 1 PO Box 7(148, Groiq� j I NVOICE
Indianapolis, h1' 46207 -7048
L A B O R A T O R I E S TEL.• 765- 378 -4141 Invoice Date: December 30, 2011
z�•; ri.�;.t: r�jr)�v. vHt�ircaies +.'rtaMc�tsrktisv Gtlebsile: wtiytv.Sherrt
Print Date: DG'L'C'171bL'1' 30, 2011
Invoice No: 66897
Client PO:
Account Code: 13185
INVOICE TO: Client ID: MOIVON CENTER REMIT TO:
Cannel Clay Parks and Recreation Sherry Laboratories Indiana, LLC
Paula Schlemmer John Rigdon
Monon Center PO Box 7048, Group 3
1411 G 115th Street Indianapolis, IN 46207 7048
CarmeL IN 46032 TEL: 765- 378 -4141
Test TOTAL: $40.00
Discount: 0.0%
Surcharged 0.0%
Miscellaneous Charges: $0.00
Total Workorder Amount: $40.00
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 8 of 8
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00351367 Sherry Laboratories
P.O. Box 7048, Group 3 Date Due
Indianapolis, IN 46207 -7048
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/30/11 66897 Weekly pool samples 30188 200.00
Total 200.00
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
00351367 Sherry Laboratories
P.O. Box 7048, Group 3
Indianapolis, IN 46207 -7048 In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1094 66897 4350900 200.00 1 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
11 -Jan 2012
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund