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Home My WebLink About175808 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC ,o CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $165.OD INDIANAPOLIS IN 46204 CHECK NUMBER: 175808 CHECK DATE: 8/612009 DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOU DESCRIPTION 651 5023990 184607 55.00 OTHER EXPENSES 1201 4358800 184863 55.00 TESTING FEES 1201 4358800 185019 55.00 TESTING FEES l Midwest To Ecology Invoi Services, Inc. €Q DATE INVOICE 7/17/2009 184607 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 SG CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT DOT Test CS NC 1 DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel Carmel, IN 719/09 David Turner 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 or fax us at 317 -262 -2222. Be sure to visit our website at wtvm Piz idivesttoxicology.coni. 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 204038 MIDWEST TOXICOLOGY SERVICES INC Purchase Order No. 603 EAST WASHINGTON STREET Terms STE 200 Due Date 7/28/2009 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 184607 $55.00 �t hereby certify that the attached invoice(s), or bill(s) is (are) true and. ;orrect and I ha ve audited same in accordance with IC 5- 11- 10 -1.6 743 1 —'Df Date Officer VOUCHER 096113 WARRANT ALLOWED 204038 IN SUM OF MIDWEST TOXICOLOGY SERVICES IN 603 EAST WASHINGTON STREET STE 200 INDIANAPOLIS, IN 46204 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT i Audit Trail Code 184607 01- 7042 -06 $55.00 Voucher Total $55.00 Cost distribution ledger classification if claim paid under vehicle highway fund Midwest'Toxicoeogy Invo 0 INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/22/2009 184863 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 ANB 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 Carmel, IN 7 -17 -09 Nicholas Scott 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 -1100 or fax its at 317- 262 -2221. Be sure to visit our website at www.nsidrvesttoxicningp.coni. 1 �fid�vest 7aXicalogy I n v o i ce Services, Inc l �g Q DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 7/29/2009 185019 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 1 Civic Square Carmel, IN 46032 DMH 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 Carmel, IN 7121109 Thomas Lingelbaugh 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 or fax us at 317- 262 -2222. Be sure to visit our website at www.midwesnoxicology.com. 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 Toxicoloftyee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/29109 185019 Pre-employment drug test $55.00 U If 11-41 Uzi 184863 Pre—employment drug test $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 08/. WARRANT NO. y ALLOWED 20 603 It. Washington St., Suite 200 IN SUM OF Indianapolis, IN 46204 $110.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PO# or DEPT INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 588 $55.0 materials or services itemized thereon for 1201 184863 588 $55.00 which charge is made were ordered and received except 20 natu Title Cost distribution ledger classification if claim paid motor vehicle highway fund