The URL can be used to link to this page

211382 07/31/2012 - CITY OF CARMEL, INDIANA VENDOR: 204038 Page 1 of 1 ONE CIVIC SQUARE MIDWEST TOXICOLOGY SVS,INC io CARMEL, INDIANA 46032 603 E WASHINGTON ST SUITE 200 CHECK AMOUNT: $330.00 INDIANAPOLIS IN 46204 CHECK NUMBER: 211382 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4358800 272110 55 . 00 TESTING FEES 1201 4358800 273011 110 . 00 TESTING FEES 1201 4358800 273387 110 . 00 TESTING FEES 1201 4358800 273734 55 . 00 TESTING FEES afidwest 7oXicology PAYMENT DUE Invoice oww� UPON R E C E I PT DATE INVOICE# a 7/5/2012 272110 603 East Washington Street,Suite 200,Indianapolis,IN 46204 BILL TO: SHIP TO: City of Carmel Names & location of collection Attn: Jim Spelbring on invoices- no ss#!! 1 Civic Square Email results to Barb Lamb& cc Jim . Carmel, IN 46032 Still Mail results to Jim DAC CONTROL# P.O. NUMBER JOB SITE# TERMS FACILITY# 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH CLASS AMOUNT DOT Test 1 DOT Drug Test 55.00 Indiana 55.00 Collected at Community Occ. Health Center (MedCheck)-Carmel 6/29/12 Parks Pifer D � JUL 3 0 2012 By A finance charge will be assessed all invoi es not id in 30 ays.Thank you for your business. dank you r#oryou��usmess Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES,INC. For questions regarding this invoice,contact us at 317-261-2200 or fax us at 317-262-2222. Be sure to visit our website at www.midwesttoxicology.com. Midwest 7oticofogy Invoice ENT ME @K�ffiPAYM DATE INVOICE# UPON RECEIPT 7/17/2012 273011 603 East Washington Street,Suite 200,Indianapolis,IN 46204 BILL TO: SHIP TO: City of Carmel Names & location of collection Attn: Jim Spelbring on invoices - no ss#!! 1 Civic Square Email results to Barb Lamb & cc Jim . Carmel, IN 46032 Still Mail results to Jim KK CONTROL# P.O. NUMBER JOB SITE# TERMS FACILITY# 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH CLASS AMOUNT ND Drug Test... 2 Non-DOT Drug Test 55.00 Indiana 110.00 Collected at Community Occ. Health Center (MedCheck)-Carmel, IN 07/11/12 Richard Decrastos Sowmya Udayan D Q � JUL 302012 By A finance charge will be assessed all invoi es not id in 30 Mays.Thank you for your business. d c ank you Tor your Dus►ness. Total $110.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice,contact us at 317-262-2200 or far us at 317-262-2222. Be sure to visit our website at www.n►idwestto.vicology.con►. PAYMENT DUE Invoice 9lfidwest7oXicoCogy UPON RECEIPT Inc @Nw� DATE INVOICE# 603 East Washington Street,Suite 200,'Indianapolis,IN 46204 7/20/2012 1 273387 BILL TO: SHIP TO: City of Carmel Names & location of collection Attn: Jim Spelbring on invoices - no ss#!! 1 Civic Square Email results to Barb Lamb & cc Jim . Carmel, IN 46032 Still Mail results to Jim KK CONTROL# P.O. NUMBER JOB SITE# TERMS FACILITY# 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH CLASS AMOUNT ND Drug Test... 2 Non-DOT Drug Test 55.00 Indiana 110.00 Collected at Community Occ. Health Center (MedCheck)-Carmel, IN 07/16/12 Timothy Byrne 07/17/12 Ashley Heinzman D JUL 3 0 201 By - A firgachar a willlepsusset�.�n 11 voices notoppid in 30hd s.T�an�C� r�QUrbusiness. or a pu►�Oose o c►en con► en►a►4y we are n onger s Ogg g e u o invoices. Total $110.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES,INC. For questions regarding this invoice,contact us at 317-262-2200 or fax us at 317-262-2222. Be sure to visit our website at www.noidwesttoxicology.com. Midwest 7ozicotogy A PAYMENT T DUE Invoice fly` SerUices, Inc. PAYMENT UPON ��9�T DATE INVOICE# 603 East Washington Street,Suite 200,Indianapolis,IN 46204 7/25/2012 1 273734 BILL TO: SHIP TO: City of Carmel Names & location of collection Attn: Jim Spelbring on invoices - no ss#!! 1 Civic Square Email results to Barb Lamb & cc Jim . Carmel, IN 46032 Still Mail results to Jim KK CONTROL# P.O. NUMBER JOB SITE# TERMS FACILITY# 5528 Due on receipt 142376 ITEM CODE QTY DESCRIPTION PRICE EACH CLASS AMOUNT ND Drug Test... 1 Non-DOT Drug Test 55.00 Indiana 55.00 Collected at Community Occ. Health Center (MedCheck)-Carmel, IN 07/19/12 Toni Butler D L" JUL 3 0 2012 By A fir nc char a will t o�7ss sser�.�n�II i voices not�t�id in 30hd s.T an�rXhPr yqur business. or a pulgpose o c ten con t en►a J we are n ongers o tng e u o invoices. Total $55.00 Make Checks Payable To: MIDWEST TOXICOLOGY SERVICES, INC. For questions regarding this invoice,contact us at 317-262-2200 or fax us at 317-262-2222. Be sure to visit our website at www.ntidwesitoxicologjv.com. 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 07/05/12 272110 $55.00 07/17/12 273011 $110.00 07/20/12 273387 $110.00 07/25/12 273734 $55.00 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Midwest Toxicology IN SUM OF $ 603 East Washington Street, Suite 200 Indianapolis, IN 46204 $330.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1201 272110 43-588.00 $55.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1201 273011 43-588.00 $110.00 materials or services itemized thereon for 1201 273387 43-588.00 $110.00 which charge is made were ordered and 1201 273734 43-588.00 $55.00 received except Monday, July 30, 2012 K Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund