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HomeMy WebLinkAbout169541 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $110.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SOffE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 169541 CHECK DATE: 31412009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 1201 R4358800 19373 173171 55.00 TES'T'ING FEES 1201 R4358800 19373 174043 55.00 TESTING FEES i C k /7- 0) Midwest 7oxicofogy c @ffi DATE INVOICE 2/19/2009 174043 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 AH CONTROL P.Q. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT DOT Test 1 DOT Drug Test 55.00 55.00 Collected at Community Occ, Health Center Carmel IN 02/17/09 Jimmie Kitterman Pay your bills online at: https: /www.intuitbi[l pay. com /midwesttoxicologyservicesinc. A finance charge will be assessed on all invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact its at 317- 262 -2200 or fax us at 317 -262 -2222. Be sure to visit our website at www.titidwesttoxicology.com. Widwest ToXicofogy I Services, Inc. DATE INVOICE 2/17/2009 173171 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss #.l. 1 Civic Square Carmel, IN 46032 MG CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel, IN 2111!09 Pamela Lister Pay your bills online at: https: /www.intuitbilipay. com /midwesttoxicologyservicesinc. A finance charge will be assessed on all invoices,not paid in 30 days. Thank you for your business. Thank you for your business! Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 orfax us at 317- 262 -2221. Be sure to visit our website at www.midwesttoxicology.com. Prep--!bed 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. avee Midwest Toxicoloby Purchase Order No. 1. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 174043 Pre employment Drug Test (1) $55.00 02111/0 1 1 Pre employment Drug Test (1) $55.00 Total 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 tn NO. M id west Toxicology ALLOWED 20 603 E. Washington St., Suite 200 IN SUM OF Indianapolis, I^N 4620 $110.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 19373 bill(s) is (are) true and correct and that the partial 588 $55.00 materials or services itemized thereon for partial 1 0 which charge is made were ordered and received except 20 ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund