215010 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
` ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC
0 CARMEL, INDIANA 46032 PO BOX 968
CHECK AMOUNT: $961.00
'c roe + MADISON IN 47250 CHECK NUMBER: 215010
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20124955 37 . 00 OTHER EXPENSES
601 5023990 20129386 24 . 00 OTHER EXPENSES
601 5023990 20129612 24 . 00 OTHER EXPENSES
601 5023990 20129618 228 . 00 OTHER EXPENSES
601 5023990 20129619 12 . 00 OTHER EXPENSES
601 5023990 20129639 12 . 00 OTHER EXPENSES
601 5023990 20129651 12 . 00 OTHER EXPENSES
601 5023990 20129682 24 . 00 OTHER EXPENSES
601 5023990 20129869 276 . 00 OTHER EXPENSES
1125 4350900 20129870 12 . 00 OTHER CONT SERVICES
601 5023990 20129871 12 . 00 OTHER EXPENSES
601 5023990 20129961 276 . 00 OTHER EXPENSES
601 5023990 20129962 12 . 00 OTHER EXPENSES
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.: 20129961
Kerri Loveall Invoice Date: 11/19/2012
CARMEL UTILITIES Date Received: 11/07/2012
3450 W. 131st STREET Order No.: 2012110255
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 23 $12.00 $276.00
C�
0I�Z
(Fold and Cut Here) Invoice Total: $276.00
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.: 20129869
Kerri Loveall Invoice Date: 11/16/2012
CARMEL UTILITIES Date Received: 11/05/2012
3450 W. 131st STREET Order No.: 2012110138
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 23 $12.00 $276.00
Coo*
OJJ"
l
(Fold and Cut Here) Invoice Total: $276.00
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.: 20129871
Kerri Loveall Invoice Date: 11/16/2012
CARMEL-CLAY WATER Date Received: 11/05/2012
3450 W 131st STREET Order No.: 2012110140
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 1 $12.00 $12.00
l.�
(Fold and Cut Here) Invoice Total: $12.00
environmental
Invoice Laboratories, 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.: 20129386
Kerri Loveall Invoice Date: 11/01/2012
CARMEL UTILITIES Date Received: 10/16/2012
3450 W. 131st STREET Order No.: 2012100555
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
t nvironmental
E
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.: 20129612
Kerri Loveall Invoice Date: 11/08/2012
CARMEL UTILITIES Date Received: 10/17/2012
3450 W. 131st STREET Order No.: 2012100631
CARMEL, IN 46074 PO No.:
i Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 2 $12.00 $24.00
(Fold and Cut Here) Invoice Total: $24.00
- - - - - - - - - - - - - - - - -
Environmental
Lboratories, inc.
Invoice ��
635 Tee 8 Road,2 3 6699oX Fax:812.273.5 887250
Page 1 of 1
Invoice No.: 20129651
Bill To: Invoice Date: 11/08/2012
Kerri Loveall Date Received: 10/24/2012
UTILITIES o.: 2012100845
CARMEL Order N
REST
3450 W. 131st ST PO No.:
Love
IN 46074 Total
CAR -- t Line
Unit Cos
- ---- --- Quantity -
-- - _ . --._ ___ - $12.00
Item/Test Name - _--_-- ----------- - $12.00
Total Coliform, Colilert
I
-
Invoice Total: $12.00— — — —
(Fold and Cut Here) — — — — — — — — — — — — —
-----------------
-------------
-- I
nvironmental
� ` yes nc.
borator ,
a
inVO1Ce V Madison,IN 47250
Green Road,PO Box 968,
635 G :812,273.5788
• 12.273.6699 Fax
Tel.8
Page 1of1
Invoice
No.: 20129639
Bill : invoice Date:
111081
2012
Loveall Date Received:
10/23/2012
LITIES Order No.:
2012
10
0786
EL UTI Ord W. 131st ST REET PO No.:
MEL, IN 46074 Unit Cost Line Total,
- Quantity
- $12.00
Item/Test Name
_ - - - -- $12.0
Total Coliform, Colilert
I
I
III
e Total:
invoice $12.00_ _
Fold and Cut Here
-------------------
nvironmental
Laboratories; inc.
Invoice
635 Tee 8112 2773 6699oX Fax:812 273 57887250
Page 1 of 1
Invoice No.: 20124955
Bill To Invoice Date: 07/1012012
Ferri Loveall Date Received: 06/22/2012
CARMEL UTILITIES Order No.: 2012060905
3450 W. 131st STREET p0 No.:
CARMEL, IN 46074
Yr.
Lme.Ttal
UnitC6st
Quact
IteTe Name $12.00 m% a 1 $12.00
I
' .
$25.00
5.00
Total C o lifo rm C o lile rt 1 2 5.0 0
Weekend Fee
f p�
lJ"
Invoice Total: $37.00
(Fold and Cut Here ..
Invoice environmental
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.: 20129618
Kerri Loveall Invoice Date: 11/08/2012
CARMEL UTILITIES Date Received: 10/18/2012
3450 W. 131st STREET Order No.: 2012100685
,CARMEL, IN 46074 PO No.:
----Item/Test Name- Quantity- Unit Cost --- —- ----Line-Total
Total Coliform, Colilert 19 $12.00 $228.00
(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.: 20129619
Kerri Loveall Invoice Date: 11/08/2012
CARMEL-CLAY WATER Date Received: 10/18/2012
3450 W 131st STREET Order No.: 2012100686
Carmel, IN 46074 PO No.:
T Item/Test Name Quantity Unit Cost _ Line Total;
Total Coliform, Colilert 1 $12.00 $12.00
ep�-I
I,a-lA
v
Fold and Cut Here) Invoice Total: $12.00
Environmental
Invoice
Laboratories, inc.
I
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.: 20129682
Kerri Loveall Invoice Date: 11/08/2012
CARMEL UTILITIES Date Received: 10/29/2012
3450 W. 131st STREET Order No.: 2012100954
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total i
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.: 20129962
Kerri Loveall Invoice Date: 11/19/2012
CARMEL-CLAY WATER Date Received: 11/07/2012
3450 W 131st STREET Order No.: 2012110256
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 1 $12.00 $12.00
7
(Fold and Cut Here) Invoice Total: $12.00
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 11/26/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201', 20129619 $12.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 122855 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
ao�agk�K aa$r�
�olz9�Fsz
20129619 01-6350-03 $12.00
Q ,
le�Cb
aol-;k�lux IN
��11�g-1\ l� l,�•�
ao1.1c)3 v(•�350•CL, .pq t�0
a c12-y 9 5 5 �7,rib
Voucher Total C�Q
Cost distribution ledger classification if
claim paid under vehicle highway fund
nvironmental
Invoice ELaboratones,, ine.
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.: 20129870
Paula Schlemmer Invoice Date: 11/16/2012
Carmel-Clay Parks Department Date Received: 11/05/2012
1411 E. 116th St. Order No.: 2012110139
CARMEL, IN 46302 PO No.:
Total Coliform, Colilert 1 $12.00 $12.00
Nov 16 2012
(Fold and Cut Here) Invoice Total: $12.00
j .
f
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
11/16/12 20129870 Water testing - Flowing Well $ 12.00
-Total $ 12.00
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
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 20129870 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
29-Nov 2012
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund