211399 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 355130 Page 1 of 1
ONE CIVIC SQUARE NORTH CENTRAL LABORATORIES
€ CHECK AMOUNT: $150.44
CARMEL, INDIANA 46032 P O BOX 8
BIRNAMWOOD WI 54414 CHECK NUMBER: 211399
CHECK DATE: 7131/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 306958 150 . 44 OTHER EXPENSES
North Cehiral
LABS
.. FEDID:39-1538387 Lab Supplies since 1985
1-800-648-7836
Fax: .ncla s.com 449-2454
www.nclabs.com
Email:nclabs@nclabs.com UJ VJ INVOICE NO.
INVOICE DATE
S CITY OF CARMEL 07/11/2012
O 9609 HAZEL DELL PARKWAY YOUR ACCOUNT NO.
L 7804
D INDIANAPOLIS, IN 46280 YOUR ORDER NO.
T
O SHIPPE 11pq 07.110/2012
SHIPPED TO _
DELL PARKWAY INDIANAPOLIS IN 46280
t..:'o" b " "Y_.•':'..4s' _ ..Y'i4n'. it.:i "�:fiP. ♦ .' - �' ♦ •
1 500 g N-50, Nitrification Inhibitor 140.00 140.00
Delivery Charges 10.44
SUB-TOTAL 150.44
WI Sales Tax-Exempt .00
TOTAL 150.44
Thank you for your order! !
tiI'
i
PLEASE PAY FROM THIS INVOICE WITHIN 30 DAYS
REMIT TO: NCL of Wisconsin, Inc. P.O. Box 8, Birnamwood,WI 54414
VOUCHER # 125359 WARRANT # ALLOWED
355130 IN SUM OF $
NORTH CENTRAL LABORATORIES
PO BOX 8
BIRNAMWOOD, WI 54414
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
306958 01-7202-05 $150.44
Voucher Total $150.44
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
355130
NORTH CENTRAL LABORATORIES Purchase Order No.
P O BOX 8 Terms
BIRNAMWOOD, WI 54414 Due Date 7/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2012 306958 $150.44
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
7 A 7
Date Officer