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Home My WebLink About210337 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 2 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CARMEL, INDIANA 46032 PO BOX 966 CHECK AMOUNT: $574.00 MADISON IN 47250 CHECK NUMBER: 210337 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 36.00 2012060209 601 5023990 48.00 20123694 601 5023990 48.00 20123695 601 5023990 24.00 20123743 601 5023990 36.00 20123744 601 5023990 12.00 20123803 601 5023990 12.00 20123804 601 5023990 12.00 20123805. 601 5023990 36.00 20123995 601 5023990 12.00 20123996 601 5023990 62.00 20124118 601 5023990 36.00 20124136 601 5023990 48.00 20124283 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 2 of 2 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $574.00 CARMEL, INDIANA 46032 PO BOX 868 MADISON IN 47250 CHECK NUMBER: 210337 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 12.00 20124294 601 5023990 12.00 20124318 601 5023990 12.00 20124343 601 5023990 12.00 20124355 601 5023990 60.00 20124367 1094 4350900 20123634 32.00 OTHER CONT SERVICES 1125 4350900 20123994 12.00 OTHER CONT SERVICES nvironmental E'T -I Invoice Lab orator i es, inc, onn Green Road, po Box nsu Madison, IN 47250 Tel: 812.273.6699 mm: 812.273.5788 p000 1 m1 Bill To: A. Invoice No.: 20123695 ImvmimeDate: 06/05/2012 Date Received: 05/24/2012 3450 W. 131st STREET Order No.: 2012050917 CARMEL, IN 46074 PO No.: Narne ffi Total Co|ihonn.Co|i|ort 4 $12.00 $48.00 (Fold and Cut Hero) Invoice Total: $48.00 E nvironmental inc. U��'�� Laboratories, nan Green Road, po Box oeo. Madison, |w4runo K ro/:o1o.u7n.sson Fax: 812.273.5788 Page m1 Bill To: Invoice No.: 20123694 .x Invoice Date: 0005/2012 CARMEL UTILITIES Date Received: 05/22/2012 3450 W. 131st STREET Order No.: 2012050875 CARMEL, IN 46074 PO No.: Total Co|ifonn.Co|i|od 4 $12.00 $48.00 (Fold and Cut Hone) Invoice Total: $4800 nvironmental E'1r -I Invoice Lawratories, 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.: 20123995 Kerri Loveall Invoice Date: 06/13/2012 CARMEL UTILITIES Date Received: 05/31/2012 3450 W. 131st STREET Order No.: 2012060007 CARMEL, IN 46074 PO No.: Total Coliform, Colilert 3 $12.00 $36.00 b 3 S (Fold and Cut Here) 43r. nn Env ironmental 1r. 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.: 20124283 Kerri Loveall Invoice Date: 06/18/2012 CARMEL UTILITIES Date Received: 05/21/2012 3450 W. 131st STREET Order No.: 2012050707 CARMEL, IN 46074 PO No.: Item est Name A Quantity Unit Cost Lrne To alb Total Coliform, Colilert 4 $12.00 $48.00 (Fold and Cut Here) Invoice Total: $48.00 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.: 20124367 Kerri Loveall Invoice Date: 06/20/2012 CARMEL UTILITIES Date Received: 06/14/2012 3450 W. 131st STREET Order No.: 2012060606 CARMEL, IN 46074 PO No.: ��Item/Test Nane Quantlty� UmtCst s o Llne Total ��.....a«..r .xi:.v�.xia...- ,>..z...� ..e.,.Z35 Phosphate,Total -(As P) 3 $20.00 $60.00 (Fold and Cut Here) Invoice Total: $60.00 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 6/27/2012 MADISON, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount .6/27/2012 20123695 $48.00 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 G 1 elm Date Officer VOUCHER 121306 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 20123695 01- 6350 -03 $48.00 aola3�4y t 4$•aU 2 d i ac13(� I t r00 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund nvironmenta.1 Invoice E 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.: 20123744 Kerri Loveall Invoice Date: 06/07/2012 CARMEL UTILITIES Date Received: 05/29/2012 3450 W. 131st STREET Order No.: 2012051107 CARMEL, IN 46074 PO No.: ame L it -.Y Total Coliform, Colilert 3 $12.00 $36.00 (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.: 20123996 Kerri Loveall Invoice Date: 06/13/2012 CARMEL UTILITIES Date Received: 05/31/2012 3450 W. 131st STREET Order No.: 2012060006 CARMEL, IN 46074 PO No.: tem/Tett Name Quantity:: 'lJmt `Cost Lme:Total Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 nvironmental 0 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.: 20123803 Kerri Loveall Invoice Date: 06/11/2012 CARMEL -CLAY WATER Date Received: 05/22/2012 3450 W 131st STREET Order No.: 2012050877 Carmel, IN 46074 PO No.: Item/Test Name. Quantity Unit Cost Llne Total Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 E nvironmental Invoice Taboratories, 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.: 20123804 Kerri Loveall Invoice Date: 06/11/2012 CARMEL UTILITIES 3 Date Received: 05/23/2012 3450 W. 131st STREET Order No.: 2012050878 CARMEL, IN 46074 PO No.: Item/Test Name Qua'ntlty flJrnt{Cost Lrne "total: Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 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.: 20123743 Kerri Loveall Invoice Date: 06/07/2012 CARMEL UTILITIES Date Received: 05/30/2012 3450 W. 131st STREET Order No.: 2012051105 CARMEL, IN 46074 PO No.: It6mq% t Name Qu6ntityt U pst Une Total Total Coliform, Colilert 2 $12.00 $24.00 (Fold and Cut Here) Invoice Total: $24.00 nvironmental Invoice E Laborator i es l 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.: 20124294 Kerri Loveall Invoice Date: 06/18/2012 CARMEL -CLAY WATER Date Received: 06/07/2012 3450 W 131st STREET Order No.: 2012060314 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 r..+•tw.....m..,ilfiM.,.� C AM _ri AV \A /ATCI7 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.: 20124136 Kerri Loveall Invoice Date: 06/15/2012 CARMEL UTILITIES Date Received: 06/07/2012 3450 W. 131st STREET Order No.: 2012060313 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total Total Coliform, Colilert 3 $12.00 $36.00 (Fold and Cut Here) Invoice Total: $36.00 rA EL UTILITIES Invoice Total: $36.00 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.: 20124343 Kerri Loveall Invoice Date: 06/18/2012 CARMEL UTILITIES Date Received: 06/12/2012 3450 W. 131st STREET Order No.: 2012060517 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost dine Total Total Coliform, Colilert 1 $12.00 $12.00 U� (Fold and Cut Here) Invoice Total: $12.00 Client Name: CARMEL UTILITIES Invoice Total: $12.00 Remit To: Environmental Laboratories, Inc. Invoice No.: 20124343 P.O Box 968 Invoice Date: 06/18/2012 r INI J77Fr) E nvironmental 'nVO boratories, inc. L a 635 Green Road, PO Box 968, Madison, IN 47250 Tel: 812.273.6699 Fax: 812.273.5788 [3450 ill To: Page 1 of 1 Invoice No.: 20124318 err1 Loveall Invoice Date: 06/18/2012 ARMEL UTILITIES Date Received: 06/11/2012 W. 131st STREET Order No.: 2012060420 CARMEL, IN 46074 PO No.: Item/Test'Ndme Quantity Unit Cost Total Coliform, Colilert Line Tfltal 1 $12.00 $12.00 e (Fold and Cut Here) Invoice Total: $12.00 Client Name: CARMEL UTILITIES 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.: 20124355 Kerri Loveall Invoice Date: 06119/2012 CARMEL UTILITIES Date Received: 06/13/2012 3450 W. 131st STREET Order No.: 2012060522 CARMEL, IN 46074 PO No.: ItemJTest Name Quantity Unit Cost: Line Total Total Coliform, Colilert 1 $12.00 $12.00 ll� (Fold and Cut Here) Invoice Total: $12.00 Client Name: CARMEL UTILITIES Invoice Total: $12.00 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.: 20124118 Kerri Loveall Invoice Date: 06/15/2012 CARMEL -CLAY WATER Date Received: 06/07/2012 3450 W 131st STREET Order No.: 2012060207 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total After Hours Fee 2 $25.00 $50.00 Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $62.00 Client Name: CARMEL -CLAY WATER Invoice Tota $62.00 nvironmental invoice aooratorles, 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.: 20123805 Kerri Loveall Invoice Date: 06/11/2012 CARMEL UTILITIES Date Received: 05/22/2012 3450 W. 131st STREET Order No.: 2012050901 CARMEL, IN 46074 PO No.: ItdM Test Name Quantity, Unit Cost. 'Line Total` Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 Laboratory Invoice 20124018 E nvironmental L aboratorles, ine. Invoice Date: 6/14/2012 Billing Information Order Number: 2012060209 PO Number: CARMEL UTILITIES Quote Number: 3450 W. 131st STREET Invoice Date: 6/7/2012 CARMEL, IN 46074 •�eScripti�u uantiy U its ost r��ce Total Coliform, Colilert 3 $12.00 $36.00 List Price $36.00 Discount: $0.00 Surcharge: $0.00 Invoice Total: $36.00 5`La 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 f 355990 ENVIRONMENTAL LABORATORIES, INC. Purchase Order No. 635 GREEN RD. Terms P.O. BOX 968 Due Date 6/27/2012 MADISON, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/27/2012 2012060209 $36.00 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 VOUCHER 121323 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 301 aS74L4 CA•035G•ot 3( 1t✓ l a 3 QQ I a•C)b 2012060209 01- 6350 -06 $36.00 �t�ia3�o� i t 3 �ota 3Sb�4 tam o4�cjb C Lo 3( 170 aL71a43�1 j �r I,a C)c I a -CD aU� aU x i� Voucher Total a9® /v) Cost distribution ledger classification if claim paid under vehicle highway fund E nv i ronmental 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.: 20123994 Paula Schlemmer Invoice Date: 06/13/2012 Carmel -Clay Parks Department Date Received: 06/04/2012 1411 E. 116th St. Order No.: 2012060038 CARMEL, IN 46302 PO No.: L�zs. ...�s��.,.�z-,,:W.x A�e s,.A,� .�i°�� s�...��..,,.,.. �,z3.,;•..�r�a�s:c. Total Coliform, Colilert 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $12.00 nvironinental Monthly Invoicing Statement Laboratories, inc. 635 Green Road, PO Box 968, Madison, IN 47250 Tel: 812.273.6699 Fax: 812.273.5788 Page 1 of 2 Bill to: Invoice No.: 20123634 Paula Schlemmer Invoice Date: 06/13/12 Carmel -Clay Parks /Monon Community Center PO No.: 1411 E. 116th St. CARMEL, IN 46032 Orde T In�olce #Parameter e PO quantity nl �t Cost Llne Total a.rvaw�.. 4W� .dx(vht3+;. 2012040550 20122868 Credit Appiled 4/11/12 1 ($8.00) ($8.00) 2012040550 20122868 Credit Applied 5/4/12 1 ($24.00) ($24.00) 2012040550 20122868 Pool Analysis 2 $16.00 $32.00 2012050269 20123122 Pool Analysis 2 $16.00 $32.00 2012050269 20123122 Credit Applied 5/4/12 #109 1 ($32.00) ($32.00) 2012050269 20123122 Refects a 20 discount 1 $0.00 $0.00 2012050061 20123189 Pool Analysis 2 $16.00 $32.00 2012050061 20123189 Credit Applied 5/4/12 109 1 ($32.00) ($32.00) 2012050495 20123399 Pool Analysis 2 $16.00 $32.00 2012050495 20123399 Credit Applied 1 ($32.00) ($32.00) 2012050919 20123634 Pool Analysis 2 $16.00 $32.00 rto+G�l 3a.00 Purchase OOLL wau" A191 0y M Description c� w P.O. P or alb G.L. k0 L 4' I c 7 )ogoC Budget Line Des J_C Purchaser Date Approval Date nviron.mental Invoice E -W 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.: 20122868 Paula Schlemmer Invoice Date: 05/04/2012 Carmel -Clay Parks /Monon Center Date Received: 04/18/2012 1411 E. 116th St. Order No.: 2012040550 CARMEL, IN 46032 PO No.: �Fx' a *r a�v <:x'i' �Item/TestName� �%�u�� QantrWV�Cost..:..r:_y .L�neTotal ....N=Az a, Credit Appiled 4/11/12 1 ($8.00) ($8.00) Credit Applied 5/4/12 1 ($24.00) ($24.00) Pool Analysis 2 $16.00 $32.00 (Fold and Cut Here) Invoice Total: $0.00 Client Name: Carmel -Clay Parks /Monon Center Invoice Total: $0.00 Invoice No.: 20122868 Remit To: Environmental Laboratories, Inc. P.0 Box 968 Invoice Date: 05/04/2012 Madison, IN 47250 Date Received: 04/18/2012 Order No.: 2012040550 Terms: Net Cash- 30 days from Invoice Date. 1 1/2% per month (18% per annum) charged on all accounts over 30 days from invoice date. 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.: 20123634 Paula Schlemmer Invoice Date: 06101/2012 Carmel -Clay Parks /Monon Community Center Date Received: 05/23/2012 1411 E. 116th St. Order No.: 2012050919 CARMEL, IN 46032 PO No.: 4 e% Item/TestNamei 'n�,Quantity' ..sk, .t ..wUnit Costa w. n},, Llne Total Pool Analysis 2 $16.00 $32.00 (Fold and Cut Here) Invoice Total: $32.00 Client Name: Carmel -Clay Parks /Monon Community Center Invoice Total: $32.00 Invoice No.: 20123634 Remit To: Environmental Laboratories, Inc. P.O Box 968 Invoice Date: 06/01/2012 Madison, IN 47250 Date Received: 05/23/2012 Order No.: 2012050919 Terms: Net Cash- 30 days from Invoice Date. 1 1/2% per month (18% per annum) charged on all accounts over 30 days from invoice date. nviron��ental Invoice Laboratories, 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.: 20123189 Paula Schlemmer Invoice Date: 05116/2012 Carmel -Clay Parks /Monon Community Center Date Received: 05/01/2012 1411 E. 116th St. Order No.: 2012050061 CARMEL, IN 46032 PO No.: Item/Test Name��W Quant7ty Unit Cost Llne Total Credit Applied 5/4/12 109 1 ($32.00) ($32.00) Pool Analysis 2 $16.00 $32.00 (Fold and Cut Here) Invoice Total: $0.00 Client Name: Carmel -Clay Parks /Monon Community Center Invoice Total: $0.00 Invoice No.: 20123189 Remit To: Environmental Laboratories, Inc. P.O Box 968 Invoice Date: 05/16/2012 Madison, IN 47250 Date Received: 05/01/2012 Order No.: 2012050061 Terms: Net Cash- 30 days from Invoice Date. 1 1/2% per month (18% per annum) charged on all accounts over 30 days from invoice date. 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.: 20123399 Paula Schlemmer Invoice Date: 05/23/2012 Carmel -Clay Parks /Monon Community Center Date Received: 05/16/2012 1411 E. 116th St. Order No.: 2012050495 CARMEL, IN 46032 PO No.: Item est Names �a4f uai`tl a <z Unit Cosh /T Llrie Total. ,u...e.� Credit Applied 1 ($32.00) ($32.00) Pool Analysis 2 $16.00 $32.00 (Fold and Cut Here) Invoice Total: $0.00 Client Name: Carmel -Clay Parks /Monon Community Center Invoice Total: $0.00 Invoice No.: 20123399 Remit To: Environmental Laboratories, Inc. P.0 Box 968 Invoice Date: 05/2312012 Madison, IN 47250 Date Received: 05/16/2012 Order No.: 2012050495 Terms: Net Cash- 30 days from Invoice Date. 1 1/2% per month (18% per annum) charged on all accounts over 30 days from invoice date. nvironmental Invoice Laboratories, 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.: 20123122 Paula Schlemmer Invoice Date: 05/15/2012 Carmel -Clay Parks /Monon Community Center Date Received: 05/08/2012 1411 E. 116th St. Order No.: 2012050269 CARMEL, IN 46032 PO No.: rE Nameu� 1 �QuanttY >xtr° Unit Cost`.. Line Total" Credit Applied 5/4/12 #109 1 ($32.00) ($32.00) Pool Analysis 2 $16.00 $32.00 Invoice Total: $0.00 (Fold and Cut Here) Invoice Total: $0.00 Client Name: Carmel -Clay Parks /Monon Community Center Invoice No.: 20123122 Remit To: Environmental Laboratories, Inc. Invoice Date: 05/15/2012 P.0 Box 968 Mad \SOC\,�� 42254 Date Received: 05/08/2012 Order No.: 2012050269 \nvo�ce Date. 30 days �com �haCged on all accounts over 30 days from invoice dat eCms.Net Cas 1 o� Q der annum ID 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 6/13/12 20123994 Water testing Flowing Well 12.00 6/13/12 20123634 Pool water testing May'12 32.00 Total 44.00 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 44.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 1 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 20123994 4350900 12.00 1 hereby certify that the attached invoice(s), or 1094 20123634 4350900 32.00 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 28 -Jun 2012 Signature 44.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund