213907 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $444.00
CARMEL, INDIANA 46032 PO BOX 968
MADISON IN 47250 CHECK NUMBER: 213907
CHECK DATE: 10123/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 20127645 8 . 00 OTHER CONT SERVICES
1094 4350900 20128179 48 . 00 OTHER CONT SERVICES
601 5023990 20128533 160 . 00 OTHER EXPENSES
601 5023990 20128544 180 . 00 OTHER EXPENSES
1094 4350900 2018095 48 . 00 OTHER CONT SERVICES
k
hvironmental
E -Ir i
Invoice Lawratories, 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.: 20127645
Paula Schlemmer Invoice Date: 09/07/2012
Carmel-Clay Parks/Monon Community Center Date Received: 08/28/2012
1411 E. 116th St. Order No.: 2012081307
CARMEL, IN 46032 PO No.:
Item/Test Name Quantity Unit.Cost Line Total;
Pool Analysis 8 $16.00 $128.00
Rent Credit Applied 8/12#157 1 ($120.00) ($120.00)
L I
CT 03 2012
i
�__.
I
(Fold and Cut Here) Invoice Total: $8.00
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.: 20128095
Paula Schlemmer Invoice Date: 09/18/2012
Carmel-Clay Parks/Monon Community Center Date Received: 09/05/2012
1411 E. 116th St. Order No.: 2012090214
CARMEL, IN 46032 PO No.:
"`,,,Jtem/Test=Name ,,.Quantity Unit Cost Line Total:
Pool Analysis 3 $16.00 $48.00
(^ E' v E
OCT 0 3 2012
P.
(Fold and Cut Here) Invoice Total: $48.00
nvronmenal
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.: 20128179
Paula Schlemmer Invoice Date: 09/21/2012
Carmel-Clay Parks/Monon Community Center Date Received: 09/11/2012
1411 E. 116th St. Order No.: 2012090287
CARMEL, IN 46032 PO No.:
=. Item/Test Name ,.,,Quantity'
:.� Unit Cost-.,:. Line Total'
Pool Analysis 3 $16.00 $48.00
OCT ® 3 2012
i
(Fold and Cut Here) Invoice Total: $48.00
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
9/7/12 20127645 Water testing MCC 8/28/12 $ 8.00
9118112 2018095 Water testin M.CC_9/5/12 $ 48.00
9/21/12 20128179 r Water testing MCC 9111112' $ 48.00
Total $ 104.00
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$
$ 104.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1094 20127645 4350900 $ 8.00 1 hereby certify that the attached invoice(s), or
1094 2018095 4350900 $ 48.00 bill(s) is (are)true and correct and that the
1094 20128179 4350900 $ 48.00 materials or services itemized thereon for
which charge is made were ordered and
received except
12-Oct 2012
Signature
$ 104.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Environmental
Invoice Laboratories, Wnc.
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.: 20128533
Kerri Loveall Invoice Date: 10/04/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090360
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
IOC- Metals (includes Sodium) 1 $160.00 $160.00
(Fold and Cut Here) Invoice Total: $160.00
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.: 20128544
Kerri Loveall Invoice Date: 10/05/2012
CARMEL UTILITIES Date Received: 09/19/2012
3450 W. 131st STREET Order No.: 2012090779
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 15 $12.00 $180.00
(Fold and Cut Here) Invoice Total: $180.00
VOUCHER # 122412 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
20128533 01-6350-03 $160.00
gp,pp
Voucher Total 3 q D{(D $ 0
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 10/16/2012
MADISON, IN 47250
1 nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201: 20128533 $160.00
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
f y�j�'/I IL C�4�'-9'l f� lYl,c•,,,.,�d,�,.r-sue
Date Officer