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217996 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 358403 Page 1 of 1 ONE CIVIC SQUARE CHARDON LABORATORIES INC CARMEL, INDIANA 46032 ACCTS RECEIVABLE CHECK AMOUNT: $1,388.00 7300 TUSSING ROAD CHECK NUMBER: 217996 REYNOLDSBURG OH 43068 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 I0091912 363 . 00 OTHER EXPENSES 651 5023990 I0091913 1, 025 . 00 OTHER EXPENSES CHARDON LABORATORIES E 0 Corporate Service&Research Center Invoice No. 10091912 7300 Tussing Road Order No 00032832 Reynoldsburg,Ohio 43068 `P 1.800.848.9526 Fax: 614.759.2558 Web: www.chardonlabs.com ACCOUNTS PAYABLE JEFF COOPER CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 To include the applicable chemicals&service outlined in Schedule 12 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed information on these schedules,please see you Master Service Agreement. 0 0 • o • o • •W S13462 NET 30 207404 2/20/2013 • e e e • • • ZMISC GLYCOL REFRACTOMETER 353.00 1.00 353.00 REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 353.00 7300 TUSSING ROAD Trade Discount 0.00 REYNOLDSBURG, OHIO 43068 Shipping&Handling 10.00 Misc.Charges 0.00 We hereby certrfy that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00 requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 363.00 United States Department of Labor issued under Section 14,thereof. Less Paid Amount Afmance charge of 1 5%per month, 18%annum,will be added to overdue invoices. -0.0-0- • 363.00 CHARDON LABORATORIES INEMISERIUM Corporate Service&Research Center Invoice No. 10091913 7300 Tussing Road Order No. 00032859 Reynoldsburg,Ohio 43068 1.800.848.9526 Fax: 614.759.2558 Web: www.chardonlabs.com . . • ACCOUNTS PAYABLE JEFF COOPER CARMEL WWTP CARMEL WWTP 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 1 . 77 To include.the applicable chemicals.&service outlined in Schedule 92 for Cooling Towers,Schedule 13 for Steam Boilers and/or Schedule 14 for Closed Systems. For detailed _ information on these schedules,please see you Master Service Agreement . a L7 S13473 NET 30 207404 2/20/2013 • . go]v 1 il I L!J j 12=292= • e o - ZSERVICE SERVICE INSPECTIONS 82.00 2.00 164.00 FTF2 FILTER VESSEL 2 GALLON FTF-2DB 665.00 1.00 665.00 FILTEACH FILTER BAG (ONE ONLY) FOR FTF 14.00 12.00 168.00 REMIT TO: CHARDON LABORATORIES, INC. ACCOUNTS RECEIVABLE Sales Total 997.00 7300 TUSSING ROAD Trade Discount 0.00 REYNOLDSBURG, OHIO 43068 Shipping&Handling 28.00 Misc.Charges 0.00 We hereby certify that goods used in conjunction with these services were produced in compliance with all applicable Tax Total 0.00 requirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the 1,025.00 United States Department of Labor issued under Section 14,thereof. Afinance charge of 1.5%per month,18%annum,will be added to overdue invoices. Less Paid Amount _ 0.00 0 1,025.00 VOUCHER # 135056 WARRANT # ALLOWED 358403 IN SUM OF $ CHARDON LABORATORIES INC 7300 TUSSING ROAD REYNOLDSBURG, OH 43068 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 10091913 01-7202-06 $861.00 10091913 01-7362-06 $164.00 ���t Iq►a OI-7aoa ,a� L,-3, o0 I 00 Voucher Total 2 - o 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 358403 CHARDON LABORATORIES INC Purchase Order No. 7300 TUSSING ROAD Terms REYNOLDSBURG, OH 43068 Due Date 3/7/2013 Invoice Invoice Description Date Number (or note attached ihvoice(s) or bill(s)) Amount 3/7/2013 10091913 $1,025.00 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 3/ell 3 Date Officer