HomeMy WebLinkAbout213439 10/09/2012 *f CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
0 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $490.00
CARMEL, INDIANA 46032 PO BOX 968
,,roe MADISON IN 47250 CHECK NUMBER: 213439
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20128165 100 . 00 OTHER EXPENSES
601 5023990 20128166 30 . 00 OTHER EXPENSES
601 5023990 20128250 48 . 00 OTHER EXPENSES
601 5023990 20128355 36 . 00 OTHER EXPENSES
601 5023990 20128517 276 . 00 OTHER EXPENSES
ETaboratories,nvironmental
Invoice inc.
L
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.: 20128517
Kerri Loveall Invoice Date: 10/0312012
CARMEL UTILITIES Date Received: 09/17/2012
3450 W. 131st STREET Order No.: 2012090632
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 23 $12.00 $276.00
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i
(Fold and Cut Here) Invoice Total: $276.00
Environmental
Invoice Laboratories, inic.
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.: 20128355
Kerri Loveall Invoice Date: 09/26/2012
CARMEL-CLAY WATER Date Received: 09/17/2012
3450 W 131st STREET Order No.: 2012090631
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 3 $12.00 $36.00
LAU
(Fold and Cut Here) Invoice Total: $36.00 .
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.: 20128166
Kerri Loveall Invoice Date: 09/21/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090361
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Nitrate (as N) 1 $15.00 $15.00
Nitrite (as N) 1 $15.00 $15.00
o�ke
CN
(Fold and Cut Here) Invoice Total: $30.00
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.: 20128165
Kerri Loveall Invoice Date: 09/21/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090358
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit.Cost Line Total
VOCs-524.2 1 $100.00 $100.00
1.
(Fold and Cut Here) Invoice Total: $100.00
- - - - - - - - - - - - - - - - - -
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.: 20128250
Kerri Loveall Invoice Date: 09/24/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090355
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Sodium, Total Rec.-(ICP) 3 $16.00 $48.00
4�
V
(Fold and Cut Here) Invoice Total: $48.00
, .
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 10/3/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/2012 20128517 $276.00
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--J11-10-1.6
�-
1.5-A l� LiB-- .✓�t � �y
Date Officer
VOUCHER # 122314 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
PO# INV# ACCT# AMOUNT Audit Trail Code
20128517 01-6350-03 $276.00
a"'D'D&3SS 1' 3(P-c"o
a!di $ZSO i L o
Voucher Total Cjo $K6-00
Cost distribution ledger classification if
claim paid under vehicle highway fund