HomeMy WebLinkAbout212986 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 968
CHECK AMOUNT: $612.00
' + MADISON IN 47250 CHECK NUMBER: 212986
OM�
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 12 . 00 20127532
601 5023990 12 . 00 20127535
601 5023990 24 . 00 20127768
601 5023990 276 . 00 20128072
601 5023990 24 . 00 20128076
601 5023990 24 . 00 20128077
601 5023990 228 . 00 20128079
1125 4350900 20127767 12 . 00 OTHER CONT SERVICES
nvironmental
Invoice ELaboratorles, 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.: 20127767
Paula Schlemmer Invoice Date: 09/12/2012
Carmel-Clay Parks Department Date Received: 09/05/2012
1411 E. 116th St. Order No.: 2012090217
CARMEL, IN 46302 PO No.:
Item/TeSt.Name Quantity Unit Cost'— Line.Total`
Total Coliforiii; Coiiiert 1 $12.00 $12.00
C, 7ED
SEP 12 2012
Purchase
DescriptionwRT '
P.O.# PorF
G.L.# llZS-y-oZ q:? 0900
LineSescrOMEX
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
9/12/12 20127767 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#/TITLE AMOUNT Board Members
Dept#
1125 20127767 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
20-Sep 2012
J ze&&n L 7211
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
F
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Environmental
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.: 20127532
Kerri Loveall Invoice Date: 09/05/2012
CARMEL UTILITIES Date Received: 08/28/2012
3450 W. 131st STREET Order No.: 2012081301
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 1 $12.00 $12.00
� lX
(Fold and Cut Here) Invoice Total: $12.00
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.: 20127535
Kerri Loveall Invoice Date: 09/05/2012
CARMEL UTILITIES Date Received: 08/29/2012
3450 W. 131st STREET Order No.: 2012081405
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 1 $12.00 $12.00
� (0
W �
(Fold and Cut Here) Invoice Total: $12.00
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.: 20128072
Kerri Loveall Invoice Date: 09/18/2012
CARMEL UTILITIES Date Received: 09/05/2012
3450 W. 131st STREET Order No.: 2012090216
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 23 $12.00 $276.00
,ID,�2-
(Fold and Cut Here) Invoice Total: $276.00
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.: 20128076
Kerri Loveall Invoice Date: 09/18/2012
CARMEL-CLAY WATER Date Received: 09/11/2012
3450 W 131st STREET Order No.: 2012090290
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 2 $12.00 $24.00
I q0'
\�
Q
(Fold and Cut Here) Invoice Total: $24.00
Environmental
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.: 20128077
Kerri Loveall Invoice Date: 09/18/2012
CARMEL-CLAY WATER Date Received: 09/11/2012
3450 W 131st STREET Order No.: 2012090291
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost - Line Total
Total Coliform, Colilert 2 $12.00 $24.00
(Fold and Cut Here) Invoice Total: $24.00
nvironmental
Invoice ELaboratories, 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.: 20128079
Kerri Loveall Invoice Date: 09/18/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090292
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 19 $12.00 $228.00
.' UG
(Fold and Cut Here) Invoice Total: $228.00
Environmental
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.: 20127768
Kerri Loveall Invoice Date: 09/12/2012
CARMEL-CLAY WATER Date Received: 09/05/2012
3450 W 131st STREET Order No.: 2012090218
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 2 $12.00 $24.00
—T\OLOt)
5 �
(Fold and Cut Here) Invoice Total: $24.00
VOUCHER # 122135 WARRANT # ALLOWED
355990 IN SUM OF $
ENVIRONMENTAL LABORATORIES, IK
635 GREEN RD.
P.O. BOX 968
MADISON, IN 47250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
20127535 01-6350-06 $12.00
-�Or o 5:6 -a II
�ola�sbZ 'a o�.b35�•b�, a�il�•�
�b l a X617 �� 7 au-cep
Q%"60
Voucher Total oc
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
355990
ENVIRONMENTAL LABORATORIES, INC. Purchase Order No.
635 GREEN RD. Terms
P.O. BOX 968 Due Date 9/17/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2012 20127535 $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
Date Officer