208671 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
CHECK AMOUNT: $468.00
�r CARMEL, INDIANA 46032 Po sox ssa
MADISON IN 47250 CHECK NUMBER: 208671
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20122430 60.00 OTHER EXPENSES
601 5023990 20122661 120.00 OTHER EXPENSES
601 5023990 20122662 48.00 OTHER EXPENSES
601 5023990 20122756 240.00 OTHER EXPENSES
E nvironmental
Invoice L aoorator i es i nc.
na» Green Road, po Box nxo Madison, |m4ruoo
ro/:o12.u7a6onn Fax: 812.273.5788
Page 1m1
Bill To: Invoice No.: 20122430
Invoice Date: 04/17/2012
CARMEL-CLAY WATER Date Received: 04/12/2012
3450 W 131st STREET Order No.: 2012040375
�Carrnel, IN 46074 PO No.:
Quah _y
Total Coiform.Coi|ert S $12.00 $60.00
(Fold and Cut Here) |nvoiceTo+a|. SGU.00
nvironmental
EIr .1
Invoice L aboratories, inc.
6an Green Road, Po Box o0o momvon IN 47250
ro/:u1u.o7o.ssoo Fax: 812.273.5788
Page 1w1
Bill To: Invoice No.: 20122661
Invoice Date: 04125C2012
Date Received: 04/10/2012
3450 W. 131st STREET Order No.: 201I040570
CARMEL, IN 46074 PO No.:
I t
7 9 /1 1 1 FIRM
Total Co|ifonn.Cn|i1ert 10 $12.00 ¢120.00
(Fold and Cut Here) Invoice Total: $120.00
nvironmental
Invoice E Lab oratories, 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.: 20122662
Kerri Loveall Invoice Date: 04/25/2012
CARMEL -CLAY WATER Date Received: 04/19/2012
3450 W 131st STREET Order No.: 2012040571
Carmel, IN 46074 PO No.:
e 5 h �s r B T Y 'ate f k
I- tem/Te9 Name, �O p Q uantity Unit Cost d s Line Total
Total Coliform, Colilert 4 $12.00 $48.00
(Fold and Cut Here) Invoice Total: $48.00
E nvironmental
U����'���� Laboratories, inc.
sao Green Road, PO Box 8so Madison, IN 47250
Tel: 812.273.6699 Fax: 812.273.5788
Page of
Bill To: Invoice No.: 20122756
Invoice Date: 04/30/2012
Date Received: 04/12/I012
3450 W. 131st STREET Order No.: 2012040371
ICARMEL, IN 46074 PO No.:
Total CoiKorm.Co/ikart ZO $12.00 ¢240.00
(Fold and Cut Here) Invoice Total: $240.00
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 5/1/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/ 20122430 $60.00
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
S/ L C I ✓�/cYiv it
Date Officer
VOUCHER 114445 WARRANT ALLOWED
355990 IN SUM OF
ENVIRONMENTAL LABORATORIES, M
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
20122430 01- 6350 -03 $60.00
D q cc o
Voucher Total L
Cost distribution ledger classification if
claim paid under vehicle highway fund