HomeMy WebLinkAbout212184 08/28/2012 .s- CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 968 CHECK AMOUNT: $972.00
MADISON IN 47250 CHECK NUMBER: 212184
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20126618 252 . 00 OTHER EXPENSES
601 5023990 20126624 24 . 00 OTHER EXPENSES
1125 4350900 20126625 12 . 00 OTHER CONT SERVICES
601 5023990 20126626 24 . 00 OTHER EXPENSES
601 5023990 20126628 252 . 00 OTHER EXPENSES
601 5023990 20126635 24 . 00 OTHER EXPENSES
601 5023990 20126640 24 . 00 OTHER EXPENSES
601 5023990 20126641 252 . 00 OTHER EXPENSES
601 5023990 20126808 24 . 00 OTHER EXPENSES
601 5023990 20126815 84 . 00 OTHER EXPENSES
Environtnen.tal
Invoice c 0r,at rl'eS; 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.: 20126625
Paula Schlemmer Invoice Date: 08/15/2012
Carmel-Clay Parks Department Date Received: 08/06/2012
1411 E. 116th St. Order No.: 2012080237
CARMEL, IN 46302 PO No.:
Total Coliform, Colilert 1 $12.00 $12.00
FAUG 17 N7T-4 15 2012
Purchase
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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
8/15/12 20126625 Water Testing Flowing Well $ 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 WTITLE AMOUNT Board Members
Dept#
1125 20126625 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
.23-Aug 2012
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Environmental
Invoice Laboratories, inc.
sos Green Road, po Box eso. Madison, |w4rcso
Tel:812.273.6699 Fax:812.273.5788
Page m1
Bill To: Invoice No.: 20126815
Invoice Date: 08/17/2012
CARMEL UTILITIES Date Received: 08/13/2012
3450 W. 131st STREET Order No.: 2012080682
�CARMEL, IN 46074 PO No.:
Total Co|Unnn. Co|/|ort 7 $1I00 $84.00
_}
(Fold and Cut Here) Invoice Total: $84.80
_ _ _ _ _ _ _ _ _ _
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.: 20126808
Kerri Loveall Invoice Date: 08/17/2012
CARMEL-CLAY WATER Date Received: 08/13/2012
3450 W 131st STREET Order No.: 2012080681
Carmei, IN 46074 PO No.:
Item Test Name '`
� z .v `:" ' Quantity , � LL, ���: °: Unit Cosh 7 °' Line Total
Total Coliform, Colilert 2 $12.00 $24.00
(Fold and Cut Here) Invoice Total: $24.00
- - - - - - - - - - - - - -
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 8/21/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/21/2012 20126635 $24.00
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
VOUCHER # 121858 WARRANT # ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, IN
635 GREEN RD.
P.O. BOX 968
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i PO# INV# ACCT# AMOUNT Audit Trail Code
20126635 k1 01-6350-03 $24.00
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Voucher Total��p
i
Cost distribution ledger classification if
claim paid under vehicle highway fund