178683 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $2,110.00
CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 968 CHECK NUMBER: 178683
MADISON IN 47250
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2009090363 1,060.00 OTHER EXPENSES
601 5023990 2009090364 1,050.00 OTHER EXPENSES
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nvironmental
Laboratories, inc.
Invoice No. 20097175 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No. 2009090363
ACCOUNTS PAYABLE P.O. No. Plant 5
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 10/08/2009
WESTFIELD IN 46074
Test Name
Uantity List Price
SOC Analyses Pkg. 1.00 $1050.00 1050.00
STATE Forwarding Fee 1.00 $10.00 10.00
Wv .17-
Page 1 Total Due 1060.00
(Fold and Tear Here)
nvironmental
Laloratorim i nc.
Invoice N o. 20097176 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL 812273.6699 FAX: 812.273.5788
Billing Information: Order No. 2 009090364
ACCOUNTS PAYABLE P.O. NO. Plant 4
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 10/08/2009
WESTFIELD IN 46074
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Mc Te�tI'Jame K Quant�ty
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SOC Analyses Pkg. 1.00 $1050.00 1050.00
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Page 1 Total Due 1050.00
(Fold and Tear Here)
VOUCHER 093378 WAR ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, I�
635 GREEN RD.
P.O. BOX 968
MADISON IN 47250
v
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2009090364 01- 6350 -03 $1,050.00
D
Voucher Totalgm& pg6to
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 10/20/2009
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/200! 2009090364 $1,050.00
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