208268 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
INDIANA 46032 PO BOX 966 CHECK AMOUNT: $612.00
CARMEL
i..� MADISON IN 47250
CHECK NUMBER: 208268
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 201222065 24.00 OTHER EXPENSES
1125 4350900 20122235 12.00 OTHER CONT SERVICES
601 5023990 20122236 240.00 OTHER EXPENSES
601 5023990 20122237 36.00 OTHER EXPENSES
601 5023990 20122248 240.00 OTHER EXPENSES
601 5023990 20122266 36.00 OTHER EXPENSES
601 5023990 20122293 24.00 OTHER EXPENSES
E nvironmenta' I r
Invoice Laboratorie, Jnc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20122235
Paula Schlemmer Invoice Date: 04/10/2012
Carmel -Clay Parks Department Date Received: 04/03/2012
1411 E. 116th St. Order No.: 2012040141
CARMEL, IN 46302 PO No.: wg W
g e "st Name s Quaritlty" Umt
Item /T Cost Llne Total
..�&�ik W.. .o..��- v��L.., �i<
Total Coliform, Coliiert 1 $12.00 $12.00
Purchase w1 caw k LY
Description Rl tillh`I(J,- t
P.O.# PorF
Hudget
Line Descr eK atnlY. 3e "[C
Purchaser Date
Approval D
(Fold and Cut Here) Invoice Total: $12.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
355990 Environmental Laboratories, Inc. Terms
P.O. Box 968
Madison, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/10/12 20122235 Water testing Flowing Well 12.00
Total 12.00
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 No. Warrant No.
355990 Environmental Laboratories, Inc. Allowed 20
P.O. Box 968
Madison, IN 47250
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 20122235 4350900 12.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
19 -Apr 2012
0 J
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
E nvironmental
V-1
Invoice Lawratories, i nc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20122293
Kerri Loveall Invoice Date: 04/11/2012
CARMEL UTILITIES Date Received: 04/06/2012
3450 W. 131st STREET Order No.: 2012040169
CARMEL, IN 46074 PO No.:
9 Item /,_Test Nar�ie ry Qua�u� "`Unit Cost 1 Line Totai
Total Coliform, Colilert 2 $12.00 $24.00
(Fold and Cut Here) Invoice Total: $24.00
E nvironmental
Invoice Laboratories, inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20122266
Kerri Loveall Invoice Date: 04/11/2012
CARMEL -CLAY WATER Date Received: 04/05/2012
3450 W 131st STREET Order No.: 2012040168
Carmel, IN 46074 PO No.:
Item/Test Name s Quantity ]Unit Cost Line� Tot
Total Coliform, Colilert 3 $12.00 $36.00
5
(Fold and Cut Here) Invoice Total: $36.00
nvironmental
Invoice Laboratories, inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20122248
Kerri Loveall Invoice Date: 04/10/2012
CARMEL UTILITIES Date Received: 04/05/2012
3450 W. 131st STREET Order No.: 2012040166
ICARMEL, IN 46074 PO No.:
u n I. Unit Line Total
a
Total Coliform, Colilert 20 $12.00 $240.00
$240.0
Ce T atuaX
E nvironmental
Invoice L aboratories, inc.
sao Green Road, po Box Vs8 Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1m1
Bill To: Invoice No.: 20122065
Invoice Date: 0402D012
Date Received: 03/27/201I
3450 W. 131st STREET Order No.: 2012030710
ICARMEL, IN 46074 PO No.:
Total CoUfonn.Co/Uert Z $12.00 $24.00
(Fold and Cut Here) Invoice Total: $24.00
Environmental
Invoice Laboratories, inc.
635 Green Road, PO Box 968, Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20122237
Kerri Loveall Invoice Date: 04/10/2012
CARMEL-CLAY WATER Date Received: 04/05/2012
3450 W 131st STREET Order No.: 2012040143
ICarmel, IN 46074 PO No.:
Itei O'bantitV. Line To
rntreSt Nar� T o ta l
rlit Cos t;' L
Total Coliform, Colilert 3 $12.00 $36.00
Invoice Total:
lFCA and UkH A)
E vironmental
Invoice L a b orator i es i nc.
ono Green Road, ro Box nxu mnmvon IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
paoo 1 m1
Bill To: Invoice No.: 20122236
Invoice Date: 04/10/2012
CARMEL UTILITIES Date Received: 04/03/2013
3450 W. 131st STREET Order No.: 2012040142
ICARMEL, IN 46074 PO No.:
Na e
�ua hi hi os Li he Tota
Total Coifonn.Ccdi|ort 20 $12.00 $240.00
Invoice Total'. $240-00
y�����
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 4/16/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2012 20122293 $24.00
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
Date Offi
VOUCHER 114288 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD.
P.O. BOX 968
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
X1 20122293 01- 6350 $24.00
Q Z DLG k4 it 31"
api�aa� ay��•�
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Qot
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund