The URL can be used to link to this page

Home My WebLink About171943 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC CHECK AMOUNT: $495.00 CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 INDIANAPOLIS IN 46204 CHECK NUMBER: 171943 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT P O NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION +1201 R4358800 19373 177788 55.00 TESTING FEES °1201 R4358800 19373 178248 220.00 TESTING FEES 1201 R4358800 19373 178394 55.00 TESTING FEES 1201 R4358800 19373 178428 55.00 TESTING FEES 1201 R4358800 19373 178594 55.00 TESTING FEES 1201 R4358800 19373 178681 55.00 TESTING FEES i y. Midwest ?oxico&.gy Invoice Services, Inc. DATE INVOICE v 603 East Washington Street, Suite 200, Indianapolis, IN 46204 F4/20/2009 178394 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 4116/09 Ryan Kiddey Pay your bills online at: https://www.intuitbi11pay,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 or fax us at 317 -262 -2222. Be sure to visit our website at www.midwesitoxicology.corn. Midwest ?o*oiABy. Invoice Services, Inc. DATE INVOICE "'603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/22/2009 178671 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss 9 Civic Square Carmel, IN 46032 KK CONTROL P.O. NUMBER JOB SITE TERMS FACILITY 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH AMOUNT ND Drug Test M_. 1 Non -DOT Drug Test 55.00 55.00 Collected at Midwest Indianapolis 4/17/09 Nicholas Southerland Pay your bills online at: https:/fwww.intuitbillpay.com/rnidwesttoxicologyservicesinc. 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,.FNC. 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.midwesttoxicology.com. 91 %west 7oXicofogy I n vo i ce Services, Inc. DATE INVOICE d 603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/20/2009 178428 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 Center Carmel, IN Aaron Goggan Pay your bills online at: https 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 www.midwesttoxicology.com Midwest Toxicology Invoice Services, 1'nc. DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 F4/21/2009 178594 BILL TO: SHIP TO: City of Carmel Names location of collection Attn: Shelly Lingelbaugh on invoices no ss I 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 Center Carmel, IN 4/17109 Joseph Vanbruaene Pay your bills online at: https: /www.intuitbiIIpay. com /midwesttoxicologyservicesinc. A finance charge will be assessed on al! invoices not paid in 30 days. Thank you for your business. For the purpose of client confidentiality we are no longershowing 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 orfax us at 317 -262 -2222. Be sure to visit our website at www.midwestioxicology.com. 9ldidwest 7o.TicoCogy In voi ce ,z Services, Inc. Q DATE INVOICE -QED ��tlt �a 1 4/10/2009 177788 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 Center Carmel, IN 416109 Basil Caprino Pay your bills online at: https: /www.intuitbiII pay. ccm /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 or fax us at 317- 262 -2222. Be sure to visit our website at wwu:niidrvesttoxicology.com. -If idwest 7o.zicofogy Invoi Services, Inc ODD DATE INVOICE 603 East Washington Street, Suite 200, Indianapolis, IN 46204 4/16/2009 178248 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 4 Non -DOT Drug Test 55.00 220.00 Collected at Community Occ. Health Center Carmel, IN 4!9109 Stefanie Wolf Ronald Hart 4110109 Thomas Abel 4114/09 Aaron Goggan Pay your bills online at: https://www.intuitbi11pay.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 $220.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice, contact us at 317- 162 -2200 or fax us at 317 -262 -2221. Be sure to visit Our website at wu7H7.uUdwESttO_i"icologvconi. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Toxicolofty Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/20 /0 178394 Pre employment drug test (1) $55.00 04/22/09 178681 Pre employment drug test (1) $55.00 0412010�! 178428 Pre-employment drug test (1) $55. 0412170 118594 Pre-employment drug test (1) $55.00 0411 010c, 11118 mployment drug test (1) $55.00 041 WOE 17824 mployment drug test (3) $220.00 Total I 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 NO. WARRANT NO. .04/27/09 ALLOWED 20 Midwest Toxicol IN SUM OF 603 E. Washington St., Suite 200 Indianapolis, IN 46204 $495.00 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or i 98:73 bill(s) is (are) true and correct and that the p artial 178394 588 $55.00 materials or services itemized thereon for 19373 which charge is made were ordered and partial .00 received except partial 178428 588 55.00 19373 partial 178594 588 5 .00 19373 00 partial 178248 588 $220.00 20 lot Suture Title Cost distribution ledger classification if claim paid motor vehicle highway fund