214282 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $4,310.00
CARMEL, INDIANA 46032 PO Box 968
ti«o ip MADISON IN 47250 CHECK NUMBER: 214282
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20128764 880 . 00 OTHER EXPENSES
601 5023990 20128769 880 . 00 OTHER EXPENSES
601 5023990 20128831 850 . 00 OTHER EXPENSES
601 5023990 20128832 850 . 00 OTHER EXPENSES
601 5023990 20128833 850 . 00 OTHER EXPENSES
ELaboratories,nvironmental
Invoice 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.: 20128769
Kerri Loveall Invoice Date: 10/12/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012091093
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity - Unit Cost Line Total!
HAA5 4 $150.00 $600.00
Total THM 4 $70.00 $280.00
(Fold and Cut Here) Invoice Total: $880.00
Environmental
Laboratories,Invoice 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.: 20128764
Kerri Loveall Invoice Date: 10/12/2012
CARMEL-CLAY WATER Date Received: 09/11/2012
3450 W 131st STREET Order No.: 2012091074
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
HAA5 4 $150.00 $600.00
Total THM 4 $70.00 $280.00
/5
(Fold and Cut Here) Invoice Total: $880.00
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.: 20128833
Kerri Loveall Invoice Date: 10118/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090366
CARMEL, IN 46074 PO No.:
F,
Item/Test Name Quantity . Unit Cost Line Total:
SOC w/o Glyphosate 1 $850.00 $850.00
W
1010-�
Invoice Total: $850.00
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.: 20128832
Kerri Loveall Invoice Date: 1011812012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090365
CARMEL, IN 46074 PO No.:
Item/Test Name Quanti 'Unit Cost Line Total;
SOC w/o Glyphosate 1 $850.00 $850.00
(Fold and Cut Here) Invoice Total: $850.00
ELaboratories,nvironmental
Invoice 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.: 20128831
Kerri Loveall Invoice Date: 10/18/2012
CARMEL UTILITIES Date Received: 09/11/2012
3450 W. 131st STREET Order No.: 2012090364
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity- _ Unit'Cost _ Line Total,
SOC w/o Glyphosate 1 $850.00 $850.00
l '
(Fold and Cut Here) Invoice Total: $850.00
— —
- - - - - - - - - - - - - - - - - - - - -
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 10/29/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201: 20128769 $880.00
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 # 122537 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
20128769 01-6350-03 $880.00
S6-a)
Dbl a��� Ir ,�54 M
Voucher Total 4 3 D,CD$$ 9CL
Cost distribution ledger classification if
claim paid under vehicle highway fund