215621 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $258.00
CARMEL, INDIANA 46032 PO BOX 968
ray MADISON IN 47250 CHECK NUMBER: 215621
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 20129906 48 . 00 OTHER EXPENSES
601 5023990 20129963 12 . 00 OTHER EXPENSES
601 5023990 20129970 90 . 00 OTHER EXPENSES
601 5023990 20130203 12 . 00 OTHER EXPENSES
601 5023990 20130209 12 . 00 OTHER EXPENSES
601 5023990 20130575 24 . 00 OTHER EXPENSES
601 5023990 20130577 24 . 00 OTHER EXPENSES
601 5023990 20130583 24 . 00 OTHER EXPENSES
1125 4350900 20130765 12 . 00 OTHER CONT SERVICES
nvironmental
Invoice L-aboratofies,_'Jnc.
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.: 20130765
Paula Schlemmer Invoice Date: 12/14/2012
Carmel-Clay Parks Department Date Received: 12/03/2012
1411 E. 116th St. Order No.: 2012120200
CARMEL, IN 46302 PO No.:
Item/Test�Name - "Obantity Unit Cost Line,Total-
Total('.oliform, Colilert 1 $12.00 $12.00
,,"NkrF,D
DEC 14 2012
BY:
(Fold and Cut Here) Invoice Total: $12.00
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
12/14/12 20130765 Water testing - Flowing Well $ 12.00
Total $ 12.00
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$
$ 12.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 20130765 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
14-Dec 2012
Signature
$ 12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.: 20130577
Kerri Loveall Invoice Date: 12/07/2012
CARMEL UTILITIES Date Received: 11/28/2012
3450 W. 131st STREET Order No.: 2012110860
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
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.: 20130575
Kerri Loveall Invoice Date: 12/07/2012
CARMEL UTILITIES Date Received: 11/27/2012
3450 W. 131st STREET Order No.: 2012110853
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
nvirenmental
1W .
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.: 20130203
Kerri Loveall Invoice Date: 11/28/2012
CARMEL UTILITIES Date Received: 11/13/2012
3450 W. 131st STREET Order No.: 2012110490
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost` Line Total;
Total Coliform, Colilert 1 $12.00 $12.00
(Fold and Cut Here) Invoice Total: $12.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Environmental 7
,bwpjdf Laboratories, Inc.
635 Green Road,PO Box 968,Madison, IN 47250
Uf 0923/384/77: : !!!!Gby;!923/384/6899
Obhf!2!pd2
Bill To: Invoice No.: 20130209
Kerri Loveall Invoice Date: 11/28/2012
CARMEL UTILITIES Date Received: 11/14/2012
3450 W. 131st STREET Order No.: 2012110497
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total'
Total Coliform, Colilert 1 $12.00 $12.00
��J
Fold and Cut Here Invoice Total: $12.00
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.: 20129906
Kerri Loveall Invoice Date: 11/16/2012
CARMEL UTILITIES Date Received: 11/08/2012
3450 W. 131st STREET Order No.: 2012110253
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 4 $12.00 $48.00
�\,k
(Fold and Cut Here) Invoice Total: $48.00
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.: 20129963
Kerri Loveall Invoice Date: 11/19/2012
CARMEL-CLAY WATER Date Received: 11/08/2012
3450 W 131st STREET Order No.: 2012110257
Carmel, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 1 $12.00 $12.00
(Fold and Cut Here) Invoice Total: $12.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
4,_.. ",^�'< .. - $12.00
nvironmental
Invoice ELaboratories, inc.
635 Green Road,PO Box 968,Madison, IN 47250
Te1:812.273.6699 Fax:812.273.5788
Page 1 of 1
Bill To: Invoice No.: 20129970
Kerri Loveall Invoice Date: 11/19/2012
CARMEL UTILITIES Date Received: 11/09/2012
3450 W. 131st STREET Order No.: 2012110293
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
E.coli Check, Colilert 1 $5.00 $5.00
Total Coliform, Colilert 5 $12.00 $60.00
Weekend Fee 1 $25.00 $25.00
11f o/�1
W
(Fold and Cut Here) Invoice Total: $90.00
�,:. $90.00
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.: 20130583
Kerri Loveall Invoice Date: 12/07/2012
CARMEL UTILITIES Date Received: 11/26/2012
3450 W. 131st STREET Order No.: 2012110887
CARMEL, IN 46074 PO No.:
Item/Test Name Quantity Unit Cost Line Total
Total Coliform, Colilert 2 $12.00 $24.00
V�
(Fold and Cut Here) Invoice Total: $24.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
,ru`«,. ; °° 4Z?Ann
VOUCHER # 123015 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
20130583 01-6350-03 $24.00
of•b350-b(, (.co
.zo i W!n 5- 01•635c:•O(o � 014.00
ao 13bao3 1 .(0 Mo•pb t a•O"
�o l 3oaoq o l•1c35a�b 1�.�
D O 13Gn c(o o l•6350 .e�(o :A
-ZvI-DP 6l ) o a•pJ
Voucher Total o� ILI 6.7V�
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 12/10/2012
MADISON, IN 47250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/10/201: 20130583 $24.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
3orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer