HomeMy WebLinkAbout178797 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 355130 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES
CARMEL, INDIANA 46032 P O BOX a CHECK AMOUNT: $141.x8
Ty BiRNAMWOOD WI 54414
CHECK NUMBER: 178797
CHECK DATE: 10/2812009
QEPARTM ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DE
651 5023990 259810 141.48 OTHER EXPENSES
vl 6h Central Laboratories INVOICE NO.
259810
Lab Supp dtn 198 NVOICE DATE
1.800.648.7836 10/12/2009
YOUR ACCOUNT NO.
Iyax: (715) 449.2454 FED ID: 39- 1538387 7804
www.nelabs.com
Email: nc @nclabs.COm YOUR ORDER NO-
{����y Verbal -Tara Rubush
TERMS
Net 30
S CITY OF CARMEL S CARMEL WASTEWATER TRT PLANT
0 9609 HAZEL DELL PARKWAY H 9609 HAZEL DELL PARKWAY
L
D INDIANAPOLIS, IN 46280 p INDIANAPOLIS, IN 46280
T T
0 0
QUANTITY .DESCRIPTION UNIT PRICE EXTENDED PRICE
1 500 g N -50, Nitrification Inhibitor 133.65 133.65
Delivery Charges,' 7.83
SUB -TOTAL 141.48
WI Sales Tau- Exempt .00
TOTAL. 141.48
Thank you for your order!!
E.t.
k'
PLEASE PAY FROM THIS INVOICE
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood, WI 54414
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) z
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
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI, 54414 Due Date 10/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/23/2001 259810 $141.48
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
AIOUCHER,# 096636 WARRANT ALLOWED
r
°x3�FRTH 130 IN SUM OF
N CENTRAL LABORATORIES
PO BOX 8
BIRNAMWOOD, WI 54414
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
259810 01- 7202 -05 $141.48
Voucher Total $141.48
Cos, distribution ledger classification if
clai i, paid under vehicle highway fund