HomeMy WebLinkAbout180799 12/30/2009 (2) CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
4 CHECK AMOUNT: $190.00
�.5�. CARMEL, INDIANA 46032 635 GREEN ROAD
PO BOX 968 CHECK NUMBER: 180799
MADISON IN 47250
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
501 5023990 2009110479 190.00 6350.03
environmental
nc
Invoice No. 20098843 635 GREEN ROAD, PO BOX 968
MADISON, IN 47250
TEL: 812.273.6699 FAX: 812.273.5788
Billing Information: Order No 2009110479
ACCOUNTS PAYABLE P.O. No.
CARMEL UTILITIES Quote No.
3450 W. 131st STREET Invoice Date 12/11/2009
WESTFIELD IN 46074
Fast e
Quii7ity° Dist Pric
SOC Addt'I Monitioring EPA 525.2 1.00 $180.00 180.00
STATE Forwarding Fee 1.00 $10.00 10.00
Page 1 Total Due 190.00
(Fold and Tear Here)
VOUCHER 093982 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD. r
P.O. BOX 968
MADISON, IN 47250,
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2009110479 01- 6350 -03 $190.00
Voucher Total $190.00
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 12/22/2009
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/22/2004 2009110479 $190.00
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
Cvv—
Date Officer