HomeMy WebLinkAbout179648 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $880.00
CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX e6e CHECK NUMBER: 179648
MADISON IN 47250
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D
601 5023990 20098059 880.00 OTHER EXPENSES
R
o..
nviron e
n.ta
a1 oraterle ine
Invoice No. 20098059 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No 2009110173
ACCOUNTS PAYABLE P.O. No.
CARMEL UTILITIES Quote No.
3450 W. 131stSTREET Invoice Date 11/11/2009
WESTFIELD IN 46074
I�l�1e O�Eaiiti'1Pric
HAA5 3.00 $210.00 630.00
STATE Forwarding Fee 1.00 $10.00 10.00
TOTAL THM 3.00 $80.00 240.00
V
Page 1 Total D ue 880.00
(F and Tear Here)
VOUCHER 0�3630 WARRANT ALLOWED
3F990 IN SUM OF
ENVIRONMENTAL LABORR T IES, III
635 GREEN RD.
P.O. BOX 968 �tff)
MADISON IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
(�V 20098059 01- 6350 -03 $880.00
Voucher Total $880.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts 'City Form No. 201 (Rev 1995)
r
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
355990
ENVIRONMENTAL LABORATORIES,INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 11/17/2009
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/2001 20098059 $880.00
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
I, �Y G�-�-�c r il",
Date Officer