211944 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
` ONE CIVIC SQUARE SHERRY LABORATORIES INC
0 21' CARMEL, INDIANA 46032 PO BOX 7048,GROUP 3 CHECK AMOUNT: $219.60
INDIANAPOLIS IN 46207-7048 CHECK NUMBER: 211944
IOM GO
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 12071149 219 . 60 OTHER EXPENSES
Sherry Laboratories Indiana,LLC � T
®� �� PO Box 7048,Group 3 I A7Y ®ACE
ER
Indianapolis,IN 4620 7-70 48
LABORATORIES TEL:260-471-7000 Invoice Date: July 29, 2012
i1:::TING'fooAY,VRmCcim.7oMORRaw Website:www.Sherrvlabs.con: Print Date: July 29, 2012
Invoice No: 79803
Client PO:
Account Code: 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana,LLC
Teresa Lewis Cindi Fuhrman
9609 Hazel Dell Pkwy PO Boa:7048,Group 3
Indianapolis,IN 46280-2935 Indianapolis,IN 46207-7048
TEL: TEL:260-471-7000
WorkOrder Test Total Misc.Charge Total Discount Surcharge WorkOrder Total
12071149 $244.00 $0.00 0.1 0 $219.60
Prepaid: $0.00 Please Pay this amount : $219.60
Sample Details: Analysis Remarks Price
WorkOrder: 12071149
Lab Sample ID: 12071149-001
Date Received: 7/1112012 AMMONIA as N in SLUDGE $13.01
Client Sample ID: Sludge Produced June 2012 METALS IN SOLID BY ICP $11.28
Matrix: Sludge METALS in Solids by ICP-MS $176.02
SDG: Microwave Digestion for Metals $7.25
Project Name: June 2012 Sludge NITRATE IN SLUDGE $10.84
PERCENT MOISTURE $5.21
Solids,Total $5.21
TOTAL KJELDAHL NITROGEN IN SOLIDS $15.18
Test TOTAL: $244.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $219.60
Pre aid: $0.00
BalanceDue: $219.60
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 1 of 1
VOUCHER # 125468 WARRANT # ALLOWED
351367 IN SUM OF $
SHERRY LABORATORIES INC.
P.O. BOX 13Z9 '70 9( (gaje 3
INDIANAPOLIS, IN -
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
12071149 01-7352-05 $219.60
Voucher Total $219.60
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
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206-1385 Due Date 8/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/2012 12071149 $219.60
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