209348 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
0 ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $262.80
CARMEL, INDIANA 46032 PO BOX 7048, GROUP 3
�oN co INDIANAPOLIS IN 46207 -7048 CHECK NUMBER: 209348
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 74114ADDN 262.80 OTHER EXPENSES
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Sherry Laboratories Indiana, LLC PO Box 7048, Group 3 IN VOICE
TAT
V ®ICE
HER
Indianapolis, IN 46207 -7048
LABORATORIES TEL: 260- 471 -7000 Invoice Date: April 28, 2012
MSTI NG TODAY, PROTCCTYNG TOMORROW Website: tivtiviv.Sher ylabs.com Print Date: April 28, 2012
Invoice No: 74114
Client PO:
Account Code: 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana, LLC
Teresa Lewis Cindi Fuhrman
9609 Hazel Dell Pkwy PO Box 7048, Group 3
Indianapolis, IN 46280 -2935 Indianapolis, IN 46207 -7048
TEL: TEL: 260 471 -7000
WorkOrder Test Total Misc. Charge Total Discount Surcharge WorkOrder Total
12040583 $244.00 $0.00 0.1 0 $219,60
12040586 $48.00 $0.00 0.1 0 $43.20
Please Pay this amount $262.80
Sample Details: Analysis Remarks Price
WorkOrder 12040583
Lab Sample ID: 12040583 -001
Date Received: 04/05/12 AMMONIA as N in SLUDGE $13.01
Client Sample ID: Sludge Produced March 2012 METALS IN SOLID BY ICP $11.28
Matrix: Sludge METALS in Solids by ICP -MS $176.02
SDG: Microwave Digestion for Metals $7.25
Project Name: Sludge NITRATE IN SLUDGE $10.84
PERCENT MOISTURE $5.21
Solids, Total $5.21
TOTAL KJELDAHL NITROGEN IN SOLIDS $15.18
Test TOTAL: $244.00
Discound 10.0
Surcharge: -0:0%
Miscellaneous Char es: $0.00
Total Workorder Amount:1 $219.60
Comments:
WorkOrder: 12040586
Lab Sample ID: 12040586 -001
Date Received: 04/05/12 Fecal Coliforms in Sludge, MPN $38.40
Client Sample ID: Biosolids Solids, Total $9.60
Matrix: Sludge
SDG:
Project Name: Sludge
Page 1 of 2
Sherry Laboratories Indiana, LLC T
pp H E R RY PO Box 7048, Group 3 IN VO I CE
V ®10E
Indianapolis, IN 46207 -7048
LABORATORIES TEL: 260 -471 -7000 Invoice Date: April 28, 20]2
TC67ING TODAY, PROT6cTING TOMORROW Website: wiviv.Shenylabs.com Print Date: April 28, 2012
Invoice No: 74114
Client PO:
Account Code: 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana, LLC
Teresa Lewis Cindi Fuhrman
9609 Hazel Dell Pkwy PO Box 7048, Group 3
Indianapolis, IN 46280 -2935 Indianapolis, IN 46207 -7048
TEL: TEL: 260 47.1 -7000
Test TO TAL: $48.00
Discount: 10.0%
Surcharge: Surcharge:1 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $43.20
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 2 of 2
VOUCHER 117355 WARRANT ALLOWED
351367 IN SUM OF
SHERRY LABORATORIES INC.
P.O. BOX 1385
INDIANAPOLIS, IN 46206 -1385
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
74114 ADDN 01- 7352 -05 $262.80
i Voucher Total $262.80
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
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
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206 -1385 Due Date 5/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2012 74114 ADDN $262.80
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 Officer