218830 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00351811 Page 1 of 1
r ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOCL CFVCK AMOUNT: $450.33
CARMEL, INDIANA 46032 16341 TABLE MOUNTAIN PARKWAY
GOLDEN CO 80403 CHECK NUMBER: 218830
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 679785 450 . 33 OTHER EXPENSES
FIRA. invoi 679785
°Account" = ?4 C397201
3/18/2013
A Waters Company Pa;ge3, r 1
Federal Tax ID: 36-2912479
D&B#083 085 274/Cage# 1 R664
Ship To:
Bill To: City of Carmel
Carmel Utilities Carmel WWTP
760 3rd Avenue SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis IN 46280
Carmel IN 46032 USA
USA
Attn. Accounts Payable Attn. Tara Washington
�. ..:s .•,:Pd rTlentT,"ermS .. �.< .:'ki,.`} `,� s, 2-,; �' .-Yx.� , ;! r �, .,� n„ s r,... _,. .. rs F' y#', v7,.,y+
Shi in Method.. Purchase Oriier Not >z .. /c ��,. fO`rcler,Num'tier.t?
NET 30 FEDEX ECON S13493 1-54H4K6031813FE
ORD3a SHP•;;a81O C'AT# � Product ? ` """ Via" 7'` °; Loth/;P.,�o ect
? *: lJnitP�ice:° :'Ezt:P.nce • r. ;
1 1 0 576 WasteWatRT°" Coliform MicrobETM Q033-083 $120.00 $120.00
1 1 0 584 Simple Nutrients Q033-505 $70.00 $70.00
1 1 0 6160 DMR-QA Mini-Set#6 Q033-6160 $222.00 $222.00
Remit To: For ACH/EFT: $ubtotala- ,'' ;. $412.00
1n ,tcs $0.00
Environmental Resource Associates Environmental Resource Associat
16341 Table Mountain Parkway HSBC Bank USA,NA Handling zr $10.00
Golden,CO 80403 452 5th Avenue New York,NY 10008Tax ��E; ,i? $0.00
800-372-0122/303-431-8454 Account#:000-16397-0F`reigtitF1� e; — $28.33-
fax(303)421-0159 ;:DiSCOUnt� $0.00
ABA#:021001088 -
www.eragc.com ;dmount Due $450.33
Swift:MRMDUS33 Currency:USD ., r f
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
351811
ENVIRONMENTAL RESOURCE ASSOCIA Purchase Order No.
16341 Table Mountain Parkway Terms
Golden, CO 80403 Due Date 4/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2013 679785 $450.33
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
Date Officer
VOUCHER # 135229 WARRANT # ALLOWED
351811 IN SUM OF $
ENVIRONMENTAL RESOURCE ASSOC
16341 Table Mountain Parkway
Golden, CO 80403
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
679785 01-7202-05 $450.33
Voucher Total $450.33
Cost distribution ledger classification if
claim paid under vehicle highway fund