217348 02/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 7048,GROUP 3 CHECK AMOUNT: $386.35
off + INDIANAPOLIS IN 46207-7048 CHECK NUMBER: 217348
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 91797 386 . 35 OTHER EXPENSES
Sherry Laboratories Indiana,LLC
SHERRY PO Box 7048,Group 3 INVOICE
® Indianapolis.GV 46107-7048
LABORATORIES TEL:160-471-7000 Invoice Date: January 31, 2013
TUYIN0 TODAY,PROT2CTINO TOMORROW Website:unnr.Sherrylabs.com Print Date: January 31, 2013
Invoice No: 91797
Client PQ: 513448
Account Code: 80142
INVOICE TO: Client ID: CARY14EL 14"14,7P REMIT TO:
Carmel WWTP Sherry Laboratories Indiana, LLC
l eresa Lewis Zach A. Bowman
9609 Hazel Dell PkNNy PO Box 7048, Group 3
Indianapolis,IN 46280-2935 Indianapolis, IN 46207-7048
TEL: TEL:260-471-7000
WorkOrder Test Total Misc. Charge Total Discount Surcharge WorkOrder Total
13011717 $48.00 $0.00 0.1 0 $43.20
13011712 $244.00 $9.25 0.1 0 $228.85
13011720 $127.00 $0.00 0.1 0 $114.30
Prepaid: $0.00 Please Pay this amount : $386.35
Sample Details: Analysis Remarks Price
WorkOrder : 13011712
Lab Sample ID: 13011712-001
Date Received: 1/18/2013 AMMONIA as N in SLUDGE $26.91
Client Sample ID: Sludge Pond Dec 12 METALS IN SOLID BY ICP,3051A Prep $23.32
Matrix: Sludge Metals in Solids by ICP-MS,3051A Prep $104.96
SDG: Microwave Digestion for Metals $13.46
Project Name: Sludge NITRATE IN SLUDGE $22.43
PERCENT MOISTURE $10.76
Solids,Total $10.76
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.40
Miscellaneous Charge Summary Test TOTAL: $244.00
Item unit Qty Total Discount: 10.0%
Return Shipping_FW $925 1 $925 0
— Surcharge: 0.0%
Miscellaneous Charges., $9.25
Total Workorder Amount: $228.85
Prepaid:1 $0.00
BalanceDue: $228.85
Comments:
WorkOrder: 13011717
Page 1 of 3
--------- - —
Sherry Laboratories Indiana,LLC
G
4 S roup 3 INVOICE
Indianapolis,IN 46207-7045
LABORATORIES Invoice Date: January 31, 2013
TEL:260-471-7000
T(y;.Y1fiG TODAY,d'RQTUC7ING YQMO171tpW Print Date: January 31, 20/3
II%bsire:iwrucSlrer�ylabs.com
Invoice No: 91797
Client PO: 513448
Account Code: 80142
INVOICE TO: Client ID: CARA/EL WHITP REMIT TO:
Carmel WWTP
Teresa Lewis
[Indianapolis,erry Laboratories Indiana, LLC
9609 Hazel Dell Pkwy ch A. Bowman
Indianapolis, IN 46280-2935 Box 7048, Group 3
TEL: IN 46207-7048
L:260-471-7000
Lab Sam7, 80/2 717-001
Date Re13 Fecal Coliforms in Sludge,MPN
Client Sads Solids,Total $38.40 Matrix: $9.60 SDG:Project Ns
Test TOTAL: $48.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Charges:1 $0.00
Total Workorder Amount: $43.20
Pre aid: $0.00
Comments:
BalanceDue: $43.20
WorkOrder: 13011720
Lab Sample ID: 13011720-001
Date Received: 1/18/2013 PCBS IN SOIL OR SLUDGE
Client Sample ID: Biosolids Solids,Total $115.00
Matrix: Sludge $12,00
SDG:
Project Name: Biosolids
Test TOTAL:
$127.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $114.30
Pre aid: $0.00
Comments:
BalanceDue• $114.30
Page 2 of 3
Sherry Laboratories hrdiana,LLC
p�SHERRY PO Box 7045,Group 3 INVOICE
`3`� Indianapolis.hV 46207-7045
LABORATORIES T6L:260-471-7000 Invoice Date: January 31, 2013
TCSTING TODAY,PROTCCY$NG TOMORROW Websire:unnr.Sheri-y1abs.cont Print Date: January 3/, 2013
Invoice No: 91797
Client P0: 513448
Account Code: 80142
INVOICE TO: Client ID: CARrtfEL PVPIrrP REMIT TO:
Carmel WwTP Sherry Laboratories Indiana, LLC
Teresa Lewis Each A. Bowman
9609 Hazel Dell Pkwy PO Box 7048,Group 3
Indianapolis, IN 46280-2935 Indianapolis, IN 46207-7048
TEL: TEL:260-471-7000
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 3 of 3
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
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206-1385 Due Date 2/7/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/7/2013 91797 $386.35
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 # 126601 WARRANT # ALLOWED
351367 IN SUM OF $
SHERRY LABORATORIES INC.
P.O. BOX 1385
INDIANAPOLIS, IN 46206-1385
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
91797 01-7352-05 $386:35'
I
Voucher Total $386.35
Cost distribution ledger classification if
claim paid under vehicle highway fund