HomeMy WebLinkAbout210318 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 361475 Page 1 of 1
t` ONE CIVIC SQUARE DAILY LABORATORIES
CARMEL, INDIANA 46032 2200 W ALTORFER SUITE B CHECK AMOUNT: $125.00
PEORIA IL 61615
CHECK NUMBER: 210318
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5226 125.00 CONT SVS- TESTING -S PL
Daily Laboratories
Division of Mobilab, Inc. I nvoice
2200 W. Altorfer Dr. Suite B Number 5226
Peoria, IL 61615
(309) 691-4513 Date: June 21, 2012
Bill To: Ship To:
[Tara Washington
I City of Carmel WWTP
19609 Hazel Dell Pkwy
Indianapolis, IN 46280
N u m ber --1 Terms Protect
06121112 30 days
Date fi
Quantity Description rice Each
Amount tV
06/19 1 1 Suitability test on deionized water i25.001 125.00
Total $125.00
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VOUCHER 125198 WARRANT ALLOWED
361475 IN SUM OF
DAILY LABORATORIES
az c�� cv
PEORIA, IL 61615
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5226 01- 7352 -05 $125.00
Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
361475
DAILY LABORATORIES Purchase Order No.
5120 BIG HOLLOW ROAD Terms
PEORIA, IL 61615 Due Date 6/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/28/2012 5226 $125.00
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 Officer