HomeMy WebLinkAbout211268 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 2
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $3,128.00
o CARMEL, INDIANA 46032 PO Box 968
MADISON IN 47250 CHECK NUMBER: 211268
CHECK DATE: 7131/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 120 . 00 20124017
601 5023990 12 . 00 20124022
601 5023990 240 . 00 20124320
601 5023990 48 . 00 20124321
601 5023990 240 . 00 20124352
601 5023990 48 . 00 20124357
601 5023990 48 . 00 20124877
601 5023990 880 . 00 2012499
601 5023990 880 . 00 20124997
601 5023990 24 . 00 20125252
601 5023990 240 . 00 20125254
601 5023990 48 . 00 20125295
601 5023990 48 . 00 20125469
CITY OF CARMEL, INDIANA VENDOR: 355990 Page 2 of 2
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $3,128.00
CARMEL, INDIANA 46032 PO BOX 968
MADISON IN 47250 CHECK NUMBER: 211268
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 240 . 00 20125470
1125 4350900 20125253 12 . 00 OTHER CONT SERVICES
E -liri v ronnlenta
Invoice Laboratories, 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.: 20125253
Paula Schlemmer Invoice Date: 07/17/2012
Carmel-Clay Parks Department Date Received: 07/09/2012
1411 E. 116th St. Order No.: 2012070317
CARMEL, IN 46302 PO No.:
Item/Test Name Quantity.;, Unit Cost,. Line Total
Total Coliform, Colilert 1 $12.00 $12.00
R1 C "E D
JUL 17 2012
Purchase WC(&f u Awa q -----
Description ' D ' _
P.O.# PurF
G.L.# //a5- -07-
Budget oMy/ a lz/°7� 5 I1
Line bescr �
Purchaser Date
Approval Date
(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
7117112 20125253 Water Testing Flowing Well T $ 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 20125253 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
26-Jul 2012
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.: 20125252
Kerri Loveall Invoice Date: 07/17/2012
CARMEL UTILITIES Date Received: 07/09/2012
3450 W. 131st STREET Order No.: 2012070316
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost,, Line Total:
Total Coliform, Colilert 2 $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.: 20125254
Kerri Loveall Invoice Date: 07/17/2012
CARMEL UTILITIES Date Received: 07/09/2012
3450 W. 131st STREET Order No.: 2012070318
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost, Line Total
Total Coliform, Colilert 20 $12.00 $240.00
(Fold and Cut Here) Invoice Total: $240.00
Environmental
Invoice aboratoriesy 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.: 20125295
Kerri Loveal) Invoice Date: 07/17/2012
CARMEL-CLAY WATER Date Received: 07/09/2012
3450 W 131st STREET Order No.: 2012070367
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 4 $12.00 $48.00
_ r
(-D
(Fold and Cut Here) Invoice Total: $48.00
nvironmental
Invoice ELaboratories, 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.: 20124999
Kerri Loveall Invoice Date: 07/11/2012
CARMEL UTILITIES Date Received: 06/13/2012
3450 W. 131st STREET Order No.: 2012060652
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
HAA5 4 $150.00 $600.00
Total THM 4 $70.00 $280.00
nvironmental
Invoice ELaboratories, 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.: 20124997
Kerri Loveall Invoice Date: 07/11/2012
CARMEL-CLAY WATER Date Received: 06/15/2012
3450 W 131st STREET Order No.: 2012060039
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
HAA5 4 $150.00 $600.00
Total THM 4 $70.00 $280.00
VVV
Xnlrl and (`i it l4aral (tRQn nn
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.: 20124352
Kerri Loveall Invoice Date: 06/19/2012
CARMEL UTILITIES Date Received: 06/14/2012
3450 W. 131st STREET Order No.: 2012060630
ICARMEL, IN 46074 PO No.:
Item/Test Name -Quantity Unit Cost Line.Total,
...........
Total Coliform, Colilert 20 $12.00 $240.00
(Fold and Cut Here) Invoice Total: $240.00
NOW
Environmental
'Tr Invoice aboratorles, 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.: 20124320
Kerri Loveall Invoice Date: 06/18/2012
CARMEL UTILITIES Date Received: 06/11/2012
3450 W. 131st STREET Order No.: 2012060421
CARMEL, IN 46074 PO No.:
.. ... .. .
Item
/Test:Name ntity
........�... '�.�''_: . .....____....._..o.._...�... __.��'._ Total
-_ ;::<, -Qua �, ° " Unit�Cosfi°-„. ;Lirie�
Total Coliform, Colilert 20 $12.00 $240.00
l
(Fold and Cut Here) Invoice Total: $240.00
Environmental r
Invoice Laboratories, onc.
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.: 20124017
Kerri Loveall Invoice Date: 06/14/2012
CARMEL UTILITIES Date Received: 06/04/2012
3450 W. 131st STREET Order No.: 2012060036
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 10 $12.00 $120.00
(Fold and Cut Here) Invoice Total: $120.00
nvironmental
E
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.: 20124357
Kerri Loveall Invoice Date: 06119/2012
CARMEL-CLAY WATER Date Received: 06/14/2012
3450 W 131st STREET Order No.: 2012060631
Carmel, IN 46074 PO No.:
.........
Item/Test Name Quantity, Unit Cost Line"Total
Total Coliform, Colilert 4 $12.00 $48.00
(Fold and Cut Here) Invoice Total: $48.00
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.: 20124321
Kerri Loveall Invoice Date: 06/18/2012
CARMEL-CLAY WATER Date Received: 06/11/2012
3450 W 131st STREET Order No.: 2012060422
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 4 $12.00 $48.00
(Fold and Cut Here) Invoice Total: $48.00
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.: 20124022
Kerri Loveall Invoice Date: 06/14/2012
CARMEL-CLAY WATER Date Received: 06/04/2012
3450 W 131st STREET Order No.: 2012060037
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost LineTotaf
Total Coliform, Colilert 1 $12.00 $12.00
G
(Fold and Cut Here) Invoice Total: $12.00
nvironmental
ENr -
Invoice Laboratories, inc.
am Green Road,Po Box 96m.Madison,/w*7uno
Tel:812.273.6699 Fax:812.273.5788
puoo 1 w1
Bill To: Invoice No.: 20125469
Invoice Date: 07/180012
CARMEL-CLAY WATER Date Received: 07/11/2012
3450 W 131st STREET Order No.: 2012070465
Carmel, IN 46074 PO No.:
>' `— �-' �'
Name Ouant�/ _'^� Unit Cos t�U . Un�Tot�/
Total Codorm. CoUlert 4 $12.00 $48.00
(Fold and Cut Here) Invoice Total: $48.00
_ _ _ _ _ _ _ _ _ _ _ _ _
Environmental M
Invoice aboratorle , 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.: 20125470
Kerri Loveall Invoice Date: 07/18/2012
CARMEL UTILITIES Date Received: 07/11/2012
3450 W. 131st STREET Order No.: 2012070466
CARMEL, IN 46074 PO No.:
Item/Test Narri -- -.; Quantity Unit Cost Line Total,
Total Coliform, Colilert 20 $12.00 $240.00
igg l�
Total 240.00
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.: 20124877
Kerri Loveall Invoice Date: 07/09/2012
CARMEL UTILITIES Date Received: 05/23/2012
3450 W. 131st STREET Order No.: 2012050918
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 4 $12.00 $48.00
J�-
CCLgc Oau o a b(P-E
Invoice Total: $48.00
VOUCHER # 121639 WARRANT # ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, II`
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
aC)I'a 3-:10 jq&DD
20124997 01-6350-03 $880.00
aD Q OP -z
Q C)vaLi
�cl ay O-7-7 D. ,D L-i q,GXD
3 L4 ,C)o
acfott)
5
Voucher Total&UL
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 7/25/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2012 20124997 $880.00
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