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Home My WebLink About168118 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CARMEL, INDIANA 46032 663 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $765.00 '•M ,�o a INDIANAPOLIS IN 46204 CHECK NUMBER: 168118 CHECK DATE: 112112009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 84358800 19373 170551 110.00 TESTING FEES 1201 84358800 19373 170669 55.00 TESTING FEES q Y Widwest 7ozicofogy I nvo ic e @g� Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 1/12/2009 170551 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.O. NUMBER JOB SITE TERMS FACILITY 6628 Due on receipt 142376 ITEM CODE CITY DESCRIPTION PRICE EACH AMOUNT ND Drug Test CS 2 Non -DOT Drug Test 55.00 110.00 Collected at Community Occ. Health Center- Carmel IN 12/24/08 Joseph Price 01/08/09 Katie Neville Pay your bills online at: https://www.intuitbillpay.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 $110.00 Make Checks Payable To: M IDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317 262 -2200 or fax its at 317- 262 -2222. Be sure to visit our wehsite at www.inirhvesttoxicologj cone. Midwest Z'oXicofagy I nvoi ce 6 DATE INVOICE 1/13/2009 170669 603 East Washington Street, Suite 200, Indianapolis, IN 46204 BILL TO: SHIP TO: Names location of collection City of Carmel Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 AH 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 01/08/09 Elizabeth Ginther Pay your bills online at: https:llwww. intuitbillpay. 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 us at 317- 262 -2200 of-fax us at 317 -262 -2222. Be sure to visit our website at rvww.nadwesttoxicology.coui. 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Midwest Toxicol%Yee Purchase Order No. Terms Date Due Invoice Invoice Description Amount 0 144 /0 N (or note attached invoice(s) or bill(s)) 01/12/0 en rug Test (1) 1 PFe n rug Test (2) Total nnnn I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited saJ ih��c with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER bq/4_6�WARRANT NO. I wes oxicology ALLOWED 20 603 E. Washington St., Suite 200 IN SUM OF Indm- 2napo!0 a IN 4620 $165.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members D 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 $55.00 materials or services itemized thereon for a which charge is made were ordered and received except 0 Sig u-re Title Cost distribution ledger classification if claim paid motor vehicle highway fund