HomeMy WebLinkAbout213435 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 361943 Page 1 of 1
ONE CIVIC SQUARE ELECTRO LAB SERVICES
CHECK AMOUNT: $87.39
CARMEL, INDIANA 46032 PO BOX 6301
EVANSVILLE IN 47719-0301 CHECK NUMBER: 213435
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 120954 87 . 39 OTHER EXPENSES
' INVOICE
4CCREDI D
ISO/IEC 17025
Certificate# 1607.01
electro-lab services, inc.
P.O.BOX 6301-EVANSVILLE,INDIANA 47719-PI-ZONE(812)423-5211-FAX(812)421-3689
SOLD TO SHIP TO
City of Carmel City of Carmel
Water Utilities Water Utilities
3450 W. 131st St. 3450 W. 131st St.
Carmel, IN 46074 Carmel, IN 46074
Attn; Brian Tolan
CUSTOMER ORDER NUMBER INVOICE# TERMS
BT07251A 1209054 NET 30 DAYS
SHIP DATE SHIPPED VIA INVOICE DATE F.O.B.
9/5/12 UPS 9/5/2012 EVANSVILLE,INDIANA
Quantity Quantity Back
Ordered Shipped Ordered Description Unit Price Total
1 1 Crompton 016-156A-PNZH-C6FS $ 77.00 77.00
SUBTOTAL $ 77.00
REMIT PAYMENT TO: TAX RATE
ELECTRO-LAB SERVICES,INC. SALES TAX.$ -
P.O. BOX 6301 SHIPPING& HANDLING $ 10.39
EVANSVILLE, IN 47719-0301 TOTAL DUE
TFLANK YOU FOR YOUR BUSINESS!
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
361943
ELECTRO LAB SERVICES Purchase Order No.
517 N FULTON AVE Terms
EVANSVILLE, IN 47719 Due Date 10/3/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2012 120954 $87.39
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
/sly z � �^--
Date Officer
VOUCHER # 122279 WARRANT # ALLOWED
361943 IN SUM OF $
ELECTRO LAB SERVICES
`P, 0--))0'0 X01
EVANSVILLE, IN 47719.- 1301
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
120954 01-6200-02 $87.39
Voucher Total $87.39
Cost distribution ledger classification if
claim paid under vehicle highway fund