HomeMy WebLinkAbout177189 09/15/2009 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
4 oN a PO BOX 968 CHECK NUMBER: 177189
MADISON IN 47250
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D
601 5023990 W08943 2009080494 880.00 TESTING
E nvironmental
L aboratories, ne.
Invoice No. 20095969 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
1 1 TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No. 2009080494
ACCOUNTS PAYABLE P.O. No.
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 09/01/2009
WESTFIELD IN 46074
Test Quantity List Price
HAAS 3.00 $210.00 630.00
STATE Forwarding Fee 1.00 $10.00 10.00
TOTAL THM 3.00 $80.00 240.00
Page 1 Total Dl[C 880.00
(Fold and Tear Here)
VOUCHER 092964 WARRANT ALLOWED
?55990 IN SUM OF
ENVIRONMENTAL LABrRIES, IN
635 GREEN
D. u
O. BOX 968
MADISON, IN 47250 0 '®�i�P@1�"
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
r
$qq3 2009080494 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)
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 9/10/2009
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1012009 2009080494 $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
Date ffi