HomeMy WebLinkAbout178863 10/28/2009 ,a CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 1002 CHECK AMOUNT: $280.00
INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 178863
CHECK DATE: 10/28/2009
DEPARTMENT A CCOUNT PO NUMBER INVOIC NUMBER AMOUN DESCRIPTION
1047 4350100 M83374 280.00 BUILDING REPAIRS MA
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LABORATORIES �1�� ERRYLABS.COM
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She rry Laboratories DATE: 30- Sep -09
Remit To: Sherry Laboratories Indiana IN VO I CE
PO Box 1002
.s. J
Indianapolis, IN 462061002 n
Attn: OCT 19 Z0U9
TEL: 765- 378 -4103 FAX: 765- 378 -4109
Invoice To: The Monon Center
1235 Central Park Drive East Invoice Number: M 83374
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 30- Oct -09
Phone: (317) 573 5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M09081529 PO Number: Date Received: 9/1/2009. Pool Samples
Pool Aqueous 8 1 $20.00 $160.00
Test TOTAL: $160.00
Discount: 0.00%
Surcharge: 0.00%
Mise Comments: Misc Charges: $0.00
Order TOTAL: $160.00
WorkOrder: M09081706 PO Number: Date Received: 9/8/2009 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
WorkOrder: M09090095 PO Number: Date Received: 9/15/2009 Pool Samples
Pool Aqueous 2 1 $20.00 $40.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00 %n
Misc Comments; ,Misc Charges: $0.00
Order TOTAL: $40.00
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0e s E R RY TESTING TODAY, PROTECTING TOMORROW
LABORATORIES WWW.SHERRYLASS.COM
Invoice TO: The Monon Center
1235 Central Park Drive East =Invoice mber: M 83374
Carmel, IN 46032 Customer Number: 13185
Attn: Jeremy Kerr Payment Due Date: 30- Oct -09
Phone: (317) 573 -5239
Payment Terms: Net 30 Days
Item Remarks Matrix Qty Mult Unit Price Test Total
WorkOrder: M09090224 PO Number: Date Received: 9/22/2009 Pool Samples
Pool Aqueous 2 I $20.00 540.00
Test TOTAL: $40.00
Discount: 0.00%
Surcharge: 0.00%
Misc Comments: Misc Charges: $0.00
Order TOTAL: $40.00
Please Refer to Invoice
Number on Remittance Invoice TOTAL: $280.00
Purchase W
Description
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P.O. t1 P or F
G.I_# A 1 t 00- t X1
Budget is IA*
Line Descr L o, tt06
Purchaser Date
Approval Date /O f( d
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
00351367 Sherry Laboratories
P.O. Box 1002 Date Due
Indianapolis, IN 46206 -1002
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9130109 M 83374 Pool water testing 911 9122109 22781 F 280.00
Total 280.00
1 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
20_
Clerk Treasurer
Voucher No. Warrant No.
Allowed 20
00351367 Sherry Laboratories
P.O. Box 1002
Indianapolis, IN 46206 -1002 In Sum of
280.00
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT#friTLE AMOUNT Board Members
Dept
1047 M 83374 4350100 280.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
T �?�'2L�LzM j
Signature
280.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund