HomeMy WebLinkAbout211256 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 361475 Page 1 of 1
0 ONE CIVIC SQUARE DAILY LABORATORIES
CARMEL, INDIANA 46032 2200 W ALTORFER SUITE B CHECK AMOUNT: $125.00
PEORIA IL 61615 CHECK NUMBER: 211256
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5255 125 . 00 OTHER EXPENSES
Daily Laboratories
Division of Mobilab, Inc. Invoice
2200 W. Altorfer Dr. Suite B
Number:5255
Peoria, IL 61615
(309)691-4513 Date: July 12, 2012
Bill To: Ship To:
Tara Washington J---- I ------ --- — -----
City of Carmel WWTP
9609 Hazel Dell Pkwy
Indianapolis, IN 46280
P.O. Number Terms Project
tara 30 days I 07/05/12
Date Quantity Description —rice Each Amount
07/09 1 Suitability test on deionized water 125.00 125.00
I
Total $125.00
We now accept credit cards. Call us for details.
VOUCHER,# 125382 WARRANT # ALLOWED
361475 IN SUM OF $
DAILY LABORATORIES
5120 BIG HOLLOW ROAD
PEORIA, IL 61615
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5255 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 7/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2012 5255 $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
713 ( -
Date Officer