The URL can be used to link to this page

Home My WebLink About173946 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVSJNC CHECK AMOUNT: $330.Otl ,a CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 173946 CHECK DATE: 6/24/2009 a D EPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 1'201 4358800 181953 55.00 TESTING FEES 1201 4358800 182217 55.00 TESTING FEES 1201 4358800 182649 55.00 TES'T'ING FEES 1201 4358800 182719 55.00 TESTING FEES 1201 4358800 183139 110.00 TESTING FEES I Midwest To ieofo Invo X 9y O 1(� Services, Inc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/17/2009 182649 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 6/15/09 Andrew Helmkamp 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 rvww.rnidrvesttoxicology.com. 1 Midwest Toxicology I ®c I Inc. x v� DATE INVOIC E 6/8/2009 181953 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 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 6!4109 Debbie L. Jones 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 wwrv.midwesttoxicology.conn. 1 Witlwest Toz 9 icofo y I nv oi ce 1 Services, Inc DATE INVOICE 6/10/2009 182139 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 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 2 Non -DOT Drug Test 55.00 110.00 Collected at Comm. Occ. Care Center Carmel, IN 6/5/09 Louis Gatlin 6/8/09 Michael Went 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 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 wwrv.ntidwesttoxicologv.cont. Midwest 70 'cofo Invo 8y Services, Inc DATE INVOICE 6/18/2009 182719 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 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 6115/09 Amy Milton 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 far us at 317 262 2222. Be sure to visit our wehsite at tviow.midwesttosicology.conr. 912idwest To 'coto gy In vo i ce Services, .Ittc Q_. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 6/11/2009 182217 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 I Non -DOT Drug Test 55.00 55.00 Collected at Community Occ. Health Center Carmel, IN 6/9/09 Amy Milton A finance charge will be assessed on all invoices notpaid 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 its at 317- 262 -2200 or fax us at 317- 262 -2212. Be sure to visit our website at www.nudwesttoxicology.corti. Prescribed,by Sate Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL hn 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 Toxicoldvee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 061ift 1827 1 P re-employment drug test (1) 061" 7 10r, 182649 re -employment drug test (1) 1W11 IV 1953 re -emp oyment drug test (1) Pre -employment drug test (1) orvio1c)p 182139 p oymen rug test (2) Total 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same n acccorrd�ance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer ve /12/09 VOU� S WARRANT NO. C SII xicolo9y ALLOWED 20 6 03 E. Washington St S ui te 2 vv IN SUM OF Indianapolis, IN 46204 $330.00 ON ACCOUNTQOeWFWq:qffi8TION FOR 1201 Human Resources Board Members Pots or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 9 588 $55 .jao bill(s) is (are) true and correct and that the 1201 materials or services itemized thereon for 55.00 which charge is made were ordered and 181953 588 received except 1 201 4822q7 o 8 s $55.00 1201 182139 20 igr�atur Title Cost distribution ledger classification if claim paid motor vehicle highway fund