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177391 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1 ONE CIVIC SQUARE SHERRY LABORATORIES INC r CHECK AMOUNT: $640.00 CARMEL, INDIANA 46032 PO Box 1002 `t INDIANAPOLIS IN 46206 -1002 CHECK NUMBER: 177391 trap c° CHECK DATE: 9/15/2009 DE PARTMENT ACCOUNT. PO NUM INV OICE NU MBER AMOUNT DESC RIPTION 1047 4350900 M81927� 640.00 OTHER CONT SERVICES H i-r K RY TESTING TODAY, PROTECTING TOMORROW LABORATORIES WWW.SHERRYLABS.COM Invoice To: The Monon Center 1235 Central Park Drive East Invoice N umber: M 81927 Carmel, IN 46032 Customer Number: 13185 Attn: Jeremy Kerr Payment. Due Date: 30-Aug-09 Phone: (317) 573 -5239 Payment Terms: Net 30 Days Item Remarks Matrix Qty Mult Unit Price Test Total WorkOrder: M09070841 PO Number: Date Received: 7/21/2009 Pool Samples Pool Aqueous 8 1 $20.00 $160.00 Test TOTAL: $160.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $160.00 Please Refer to Invoice Number on Remittance Invoice 9.0 0J Purchase P Pore P.O. ©.L oudcjd PurGh r ote,__ t g 2 of 2 H ERRY TES TING TODAY, PROTECTING TOMORROW LABORATORIES ��C;�� L. I .SHERRYABS.COM Ali 10 200 I y Sh erry Laboratories DATE: 3L- mI =09 Remit To: Sherry Laboratories Indiana INVOICE PO Box 1002 Indianapolis, IN 462061002 Attn: TEL: 765- 378 -4103 FAX: 765- 378 -4109 Invoice To: The Monon Center 1235 Central Park Drive East Invoice Number: M 81927 Carmel, IN 46032 Customer Number: 13185 Attn: Jeremy Kerr Payment Due Date: 30- Aug -09 Phone: (317) 573 -5239 Payment Terms: Net 30 Days Item Remarks Matrix Qty Mlllt Unit Price Test Total WorkOrder: M09061328 PO Number: Date Received: 6/30/2009 Pool Samples Pool Aqueous 8 1 $20.00 $160.00 Test TOTAL: $160.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $160.00 WorkOrder: M09070058 PO Number: Date Received: 7/8/2009 Pool Samples Pool Aqueous 8 l $20.00 $160.00 Test TOTAL: $160.00 Discount: 0.00% Surcharge: 0.00% Misc Comments: Misc Charges: $0.00 Order TOTAL: $160.00 WorkOrder: M09070437 PO Number: Date Received: 7/14/2009 Pool Samples Pool Aqueous 8 1 $20.00 $160.00 Test TOTAL: $160.00 Discount: 0.00% Purchase n Surcharge: 0.00% Misc Comments: Dip d� Misc Charges: $0.00 P.O. P or Order TOTAL: $160.00 G.L Budget Une Dean Purchaser Date (1 Approval Date r UG 2 1 2009 1 o f 2 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 7/31109 M 81927 Pool water testing 6130 7121109 22470 F 640.00 Total 640.00 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 640.00 ON ACCOUNT OF APPROPRIATION FOR 104- Program Fund PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1047 M 81927 4350900 640.00 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 10 -Sep 2009 I Y �2z2 Signature 640.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund