Loading...
HomeMy WebLinkAbout167663 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $165.00 INDIANAPOLIS IN 46204 roe o CHECK NUMBER: 167663 CHECK DATE: 11712009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4358800 19373 169298 110.00 TESTING FEES 1201 R435880 19373 169614 55.00 TESTING FEES Midwest Toxicofogy Invoic •Q� Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 12/24/2Q08 169614 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 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 12/18108 Jeffrey Grimes Pay your bills online at: https:l lwww. intuitbilipay. 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 TOXICOLOGV SERVICES. INC. For questions regarding this invoice, contact us at 317 162 -2200 or fax us at 3.17 -162 -2222. Be sure to visit our wehsite at www.mitlwesttoxicologp.corn. Midwest 7o.Cicotogy Inv oi ce ffi w� DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 12/17/2008 169298 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 EK CONTROL P.O. 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 12/15/08 Travis Tabak ND Drug Test CS 1 Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel IN 12/15/08 Jeffrey Carpenter 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. For the purpose of client confidentiality we are no longer showing the full SSN on invoices. Total $110.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 262 -2200 or fax us at 317 262 -2222. Be sure to visit our website at wwncn:idwesttoxicalogy.cotn. Prescrit•ed 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 Toxicolodree Purchase Order No. Terms r Date Due s Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12124/09 169614 Pre employment Drug Test (1 $55.00 169298 Random Drug Test (2) $110.00 Total 0 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 VOUCHERIM�WARRA eS oXICO Ogy} ALLOWED 20 E. Washington St., Suite 200 IN SUM OF Ind 4620 $165.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PT INVOICE NO. ACCT /TITLE AMOUNT 1 hereby certify that the attached invoice(s), or 19373 bill(s) is (are) true and correct and that the $55.00 materials or services itemized thereon for 198:73 1 p artial 1692PR 0 0 which charge is made were ordered and received except Ar 20 I ature ti Title Cost distribution ledger classification if claim paid motor vehicle highway fund