219031 04/09/2013 =emu, CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
r t. ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 PO BOX 7048,GROUP 3
INDIANAPOLIS IN 46207-7048 CHECK NUMBER: 219031
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 94687 50 . 00 OTHER EXPENSES
Sherri,Laboraories Indiana, LLC
'S H RY PO Box 7045,Group 3
INVOICE
e'SHERRY Indianapolis,IN 46207-7048 ]ttvoice#: 94687
LABORATORIES TEL:574-267-3305
Date: 3/26/2013
,e•:n�;,ron•'.v.11uu;rc, Websne. www.Sherrvlabs.com
REMIT TO: Sherry Laboratories Indiana,LLC
Keith Klemm
PO Box 7048,Group 3 Work Order 13031836
Indianapolis,IN 46207-7048 Date Received 3/19/2013
TEL:574-267-3305 Priority Routine
Phone (317)733-2555
INVOICE TO: ATTN: ACCOUNTS PAYABLE AM Code, 60176 Fax
Carmel Water Utilities Project VWC
Kerri Loveall PO
3450 W 131st St CaseNo
Cannel,IN 46074 Submitted By Carmel Water Utilities
Jaimie Foreman
Item Description Matrix Remarks Qty Unit Price Total
IRB by BART Water 1 5000 5000
Sub Total: $50,00
Misc.Charges $0,00
Surcharge: 0.00%
INVOICE Total: $50.00
Pre-Paid Amount: $0.00
Total Payable Amount: $50.00
TERMS:
All invoices are due and payable net 30 days From receipt
Original
Page 1 of 1
VOUCHER # 131222 WARRANT # ALLOWED
351367 IN SUM OF $
SHERRY LABORATORIES
P.O. Box 633476
Cincinnati, OH 45263-3476
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
t
PO # INV# ACCT# AMOUNT Audit Trail Code
94687 01-6350-06 $5000
Voucher Total $50.00
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
351367
SHERRY LABORATORIES Purchase Order No.
P.O. Box 633476 Terms
Cincinnati, OH 45263-3476 Due Date 4/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/1/2013 94687 $50.00
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
_ all"111 3 Date Officer Officer