169662 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351379 Page 1 of 1
ONE CIVIC SQUARE UNITED LABORATORIES INC
!'s 4 CHECK AMOUNT: $1,120.82
CARMEL, INDIANA 46032 PO BOX 410
ST CHARLES IL 60174 CHECK NUMBER: 169662
CHECK DATE: 3/412009
DEPARTMENT A P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 511339 03559 1,120.82 CHEMICALS
i
r T O ANY QUESTIONS PLEASE CALL:
(630) 377 -0900 PLEASE REMIT TO: P.O. BOX 410
www.unitediabsinc.com ST. CHARLES IL 60174 -0410
F EDERAL I.D. a3s2535769 INVOICE NUMBER 03559
SOLD CARMEL CITY OF WASTE 1�J SHIP CITY OF CARIVIEL WASTE
TO WATER UTILITIE —LISA KEMPA TO WATER UTILITIE —PAUL ARNON
760 3RD AVE SW STE 110 901 N RANGE LINE RD
CARMEL, IN 46032 CARMEL IN 46032
TERMS: NET 30 DAYS
INVOICE DATE SHIP DATE SHIP VIA F.O.B.
PLEASE REFER TO THE ABOVE INVOICE NUMBER ON ANY CORRESPONDENCE
02 1 02/06/09 UPS ST. CHARLES A
ACCOUNT NUMBER COUNTY SALESMAN S 117 AL
SES ORDER NO. COST. P.O. NUMBER
46032 -038 HAMILTON O'MALEY, MICHAEL 794368
DESCRIPTION
___4__ _.___4_ __EA_ —_8. 5607_4 UN.I_T._ED8.56._B LO_- AC_G.EL_T 133.__6.5---- ___.__534. _60
1.38.._15______- 552._60
f r_o u d t o_b_e_.._e.m,p l..o_y_e_e =o wri a d_"
ANY QUANTITY OR ITEM NOT
SHIPPED COMPLETE IS AUTO-
MATICALLY BACK ORDERED. 'IF YOUR FIRM IS TAX EXEMPT PLEASE FURNISH PROPER CERTIFICATE WITH PAYMENT.
THE MERCHANDISE LISTED ABOVE HAS BEEN PRODUCED IN ACCORDANCE
WITH THE FAIR LABOR STANDARDS ACT OF 1938, AS AMENDED. 03 /11/09 1, 067. 20 0. 00 33.62 1,120.62
ABSOLUTELY NO MERCHANDISE RETURNED FOR CREDIT
WITHOUT PRIOR WRITTEN CONSENT. DUE DATE NET INVOICE SALES TAX' EOUALIZEG
2% FINANCE CHARGE PER MONTH FOR AMOUNTS ORIGINAL INVOICE FREIGHT/ HANDLING
NOT RECEIVED WITHIN STATED TERMS. PAY NO MONEY TO AGENTS
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
351379
UNITED LABORATORIES, INC. Purchase Order No.
PO BOX 410 Terms
ST. CHARLES, IL 60174 Due Date 2/23/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2009 03559 $1,120.82
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
i)
VOUCHER 095097 WARRANT ALLOWED
351379 IN SUM OF
UNITED LABORATORIES, INC.
PO BOX 410
ST. CHARLES, IL 60174
I Carmel Wastewater Utility
ACCOUNT OF APPROPRIATION FOR.
Board members
PO INV ACCT AMOUNT Audit Trail Code
03559 01- 7200 -02 $1,120.82
-0 39
Voucher Total $1,120.82
Cost distribution ledger classification if
claim paid under vehicle highway fund