206672 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350134 Page 1 of 1
t ONE CIVIC SQUARE FISHER RESEARCH LABORATORY
CARMEL, INDIANA 46032 Po Box 201995
CHECK AMOUNT: $320.00
moo:+ DALLAS Tx 75320-1995 CHECK NUMBER: 206672
CHECK DATE: 2128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00117868 160.00 OTHER EXPENSES
601 5023990 00117869 160.00 OTHER EXPENSES
Remit To: 00117869 1
FISHER RESEARCH LABS. INC.
P.O. Box 201995
Fisher Labs 0 2/0 8 12
I N i 1: 1 U 1 I Dallas, TX 75320 -1995
1465 Henry Brennan, Suite H E1 Peso, TX 79936
Ph. 915- 225 -0333• Fax: 9 t 5-225-0336
BILL TO: SHIP TO:
City of Carmel Water Dist. City of Carmel Water Dist.
Attn: Mike Luper Attn: Mike Luper
3450 W 131st St 3450 W 131st St
Carmel, IN 46074 Carmel, IN 46074
USA USA
1322 2 2 y y
1 7 1 ry 7 Tl ff9
l- lJ:?l1l�A�/l�tl 4UCb UA�AI'll�N CA�.LJ CifUlY llli%d D o
RA F9408 PO ML2312 FedEx Ground Prepaid
mo a D D o
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Shipped on: 02/07/2012
Tracking 833231915175679
Service: Ground
Total Weight: 6.00
Number of Packages: 1
Billing Option: Sender
End Shipment(s)
*LABOR 1.00 1.00 160.000 EA
Labor Charge 160.00
SALE AMOUNT 160. 00
MISC. /HANDLING .00
COMMENTS: SHIPPING /FREIGHT .00
SALES TAX .00
TOTAL 3.6 0 0 0
AMOUNT RECEIVED 00
TERMS:
Prepaid BALANCE DUE 160.100
Remit To: 00117868 1
FISHER RESEARCH LABS, INC.
Fisher Labs P.O. Box 201995 0 2/08/12 0 8 12
S 1 u C F. I Y. I Dallas. TX 75320 -1995
1465 Heniy Brennan, Suite H El Paso, TX 79936
Ph. 915- 225 -0333^ Fax: 915-225-0336
BILL TO: SHIP TO:
City of Carmel Water Dist. City of Carmel Water Dist.
Attn: Mike Luper Attn: Mike Luper
3450 W 131st St 3450 W 131st St
Carmel, TN 46074 Carmel, IN 46074
USA USA
-E-P— -T -H
RA F9408 PO ML2312 FedEx Ground Prepaid
Shipped on: 02/07/2012
Tracking 833231915175662
Service: Ground
Total Weight: 5.00 f1
Number of Packages: 1
Billing Option: Sender
End Shipment(s)
*LABOR 1.00 1.00 160.000 EA
Labor Charge 160.00
lie 11'
SALE AMOUNT 160.00
MISC. /HANDLING 00
COMMENTS: SHIPPING /FREIGHT 00
SALES TAX .00
TOTAL 160.00
AMOUNT RECEIVED .00
TERMS:
Prepaid BALANCE- ®UE 160 00
VOUCHER 113819 WARRANT ALLOWED
350134 IN SUM OF
FISHER RESEARCH LABS O RA7�7R
PO BOX 201995
DALLAS, TX 75320 -1995
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
1
PO INV ACCT AMOUNT i Audit Trail Code
1
00117869 01- 6360 -06 $160.00
Voucher Total l
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
350134
FISHER RESEARCH LABS Purchase Order No.
PO BOX 201995 Terms
DALLAS, TX 75320 -1995 Due Date 2/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2012 00117869 $160.00
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 O is r