206948 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00350417 Page 1 of 1
0 ONE CIVIC SQUARE A&L GREAT LAKES LABORATORIES, ING HECK AMOUNT: $262.00
CARMEL, INDIANA 46032 3505 CONESTOGA DRIVE C
oN La FORT WAYNE IN 46808 -0413 CHECK NUMBER: 206948
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1073185 255.60 OTHER EXPENSES
651 5023990 1073846 6.40 OTHER EXPENSES
A L GREAT LAKES LABORATORIES, INC.
3505 Conestoga Dr. Fort Wayne, IN 46808 260- 483 -4759 FAX 260- 483 -5274
www.algreatlakes.com Iab@algreatlakes.com
QUALITY ANALYSES FOR INFORMED DECISIONS®
Foy IIIIIIIIIIIIIIIIIIIIII �AccountNo I 14014
Carmel WWTP Purchase Order No S12995
Teresa Lewis Invoke No 1073185
Y 9609 Hazel Dell Pkwy p y nient terms Net 30 Days
Indianapolis, IN 46280 -2935
Invoice Date 2/29/2012
z
Federal ID No. 35- 1381134 L1ueDate 3/31/2012
Unit Cost Extended Cost
r anti °...Descri tion
:.Date Re 'ort No:. "Ref is
'No., Identification' <.Qu p�
p d. K r _tY 4 a List Your'Cost Lt, You r Cost
e' a..
2/11/2012 F12039 -8007 1073185 CARMEL GREEN 1 Land Application Package II 244.00 219.60 244.00 219.60
2/11/2012 F12039 -8007 1073185 CARMEL GREEN 1 Fecal Coliform /MPN Class A 40.00 36.00 40.00 36.00
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TOT�AL THIS PERIOD $284.00
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VOLUME .DISCOUNT $28.40
CURRENT PERIOD CHARGES, $255.60
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A L GREAT LAKES LABORATORIES, INC.
3505 Conestoga Dr. Fort Wayne, IN 46808 260- 483 -4759 FAX 260- 483 -5274
i www.algreatiakes.com lab @algreatlakes.com AtL.
QUALITY ANALYSES FOR INFORMED DECISIONS® o
Foy. IIIIIIIIJIIIIIIIIIJIII AccountNo °s 14014
INVOICE
a Purchase Order No
Carmel WWTP
Teresa Lewis invoke No 1073846
9609 Hazel Dell Pkwy Payme`nt Terms Net 30 Days
Indianapolis, IN 46280 -2935
Irivoice'Date 2/29/2012
Federal ID No. 35-1381134 Due Date 3/31/2012
Unit Cost.. ,Extended Cost
Date.-
Re ort,No'� Ref`No E Identification Quanti Desc i' tion
List Your Cost L�st'f Your.cost�
-h!
2/13/2012 F12044 -9017 1073846 1Z4460269052800459 (6 Ibs) 1 UPS RS Fuel Surcharge 0.41 0.41 0.41 0.41
2/13/2012 F12044 -9017 1073846 1Z4460269052800459 (6 Ibs) 1 UPS RS Ground Shipping 5.99 5.99 5.99 5.99
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CURRENT_PERIOD CHARGES =F $6.40
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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
350417
A &L GREAT LAKES LABORATORIES, I Purchase Order No.
3505 CONESTOGA DRIVE Terms
FORT WAYNE, IN 46808 -4413 Due Date 3/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/7/2012 1073846 $6.40
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 Officer
VOUCHER 116951 WARRANT ALLOWED
350417 IN SUM OF
A &L GREAT LAKES LABORATORIES, 1
3505 CONESTOGA DRIVE
FORT WAYNE, IN 46808 -4413
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1073846 01- 7352 -05 $6.40
0
Voucher Total _$6-60
Cost distribution ledger classification if
claim paid under vehicle highway fund