HomeMy WebLinkAbout176212 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 080650 Page 1 of 1
ONE CIVIC SQUARE ESG LABORATORIES CHECK AMOUNT: $600.00
CARMEL, INDIANA 46032 5927 w71ST STREET
INDIANAPOLIS IN 45278 CHECK NUMBER: 176212
CHECK DATE: 8/19/2009
DEPARTMEN ACCOUNT P O NUM IN VOICE NUMB AMOU DESCRIPTION
601 ��5023990 09008647 600.00 OTHER EXPENSES
INVOICE
Invoice tf 09008647 Date Invoiced: 27- Jul -09
Carmel Water Distribution Of I ?MI Carmel Water Distribution
3450 West 131 st Street 3450 West 131st Street
Westfield, Indiana 46074 �y Westfield, Indiana 46074
Attn: Jack Spears Attn: Jack Spears
W
Received: 7/17/2009 Thank you for your patronage. We look forward to working with you
Reported: again in the future.
Project Name: 2009 Lead Copper
Lab Sample ID Client Project
09008647 -001 131 4340 Idlewood Lane 5229024
09008647 -002 70 4310 Breckenridge Circle 5229024
09008647 -003 232 3750 Power Dr. 5229024
09008647 -004 182 10514 Shafer Circle 5229024
09008647 -005 186 10534 Shafer Circle 5229024
09008647 -006 167 10551 Williamson Parkway 5229024
09008647 -007 69 4305 Breckenridge Circle 5229024
09008647 -008 81 10415 Breckenridge Dr. 5229024
09008647 -009 193 3790 Shafer Ct. 5229024
09008647 -010 421 9966 Lakeshore Dr. E. 5229024
09008647 -011 107 10596 Breckenridge Dr. 5229024
09008647 -012 129 Idlewood Lane 5229024
09008647 -013 253 10373 Power Dr. 5229024
09008647 -014 114 4418 Blue Creek Dr, 5229024
09008647 -015 102 10565 Breckenridge Dr, 5229024
09008647 -016 420 9957 Lakeshore Dr. E. 5229024
09008647 -017 396 4414 Woodhaven Dr. 5229024
09008647 -018 338 12984 Portsmouth Dr. 5229024
09008647 -019 103 10570 Breckenridge Dr. 5229024
09008647 -020 130 4338 Idlewood Lane 5229024
09008647 -021 337 433 Portsmouth Court 5229024
09008647 -022 333 12964 Portsmouth Dr. 5229024
09008647 -023 365 493 Leeds Circle 5229024
09008647 -024 33412967 Portsmouth Dr. 5229024
09008647 -025 431 10185 Lakeshore Dr. E. 5229024
09008647 -026 298 13074 Brighton Ave. 5229024
09008647 -027 277 12931 Brighton Ave. 5229024
09008647 -028 408 4633 Woodhaven Dr. 5229024
09008647 -029 383 13059 Southhampton Ct. 5229024
09008647 -030 168 3704 Shafer Circle 5229024
Unit Price 4
Batch 09008647 'r v Page 1 of 2
ESG Laboratories
5927 WEST 71ST STREET PHONE (317) 290 -1471
INDIANAPOLIS, INDIANA 46278 FAX (317) 290 -1670
Test N�me' Unit Price City Total:.Price
CU- 2007 -DW Copper in Drinking Water, ICP -AES $7.00 30 $210.00
PB- 2009 -DW Lead in Drinking Water, GFAA $13.00 30 $390.00
Analysis Charges $600.00
Sub7otal: $600.00
Sample Fees $0.00
Other Fees $0.00
TOTAL AMOUNT DUE: $600.00
Batch 09008647 Page 2 of 2
ESG Laboratories
5927 WEST 71ST STREET PHONE (317) 290 -1471
INDIANAPOLIS, INDIANA 46278 FAX (317) 290 -1670
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
80650
ESG LABORATORIES Purchase Order No.
5933 W 71 ST STREET Terms
INDIANAPOLIS, IN 46278 Due Date 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 09008647 $600.00
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
VOUCHER 0926,35„ ,WARRANT ALLOWED
80650 IN SUM. OF
ESG LABORATORIES
5933 W 71 ST STREET{ r
IJ DIANAPOLIS, IN 46278 0�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
�Qlk' 09008647 01- 6350 -03 $600.00
Voucher Total $600.00
(lost distribution ledger classification if
claim paid under vehicle highway fund