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Home My WebLink About219284 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 355031 Page 1 of 1 ONE CIVIC SQUARE COMMUNITY OCCUPATIONAL HEALTH g�g�[ CARMEL, INDIANA 46032 7169 SOLUTION CENTER GFfECK AMOUNT: $94.00 CHICAGO IL 60677-7001 CHECK NUMBER: 219284 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340700 347005 47 . 00 MEDICAL FEES 1081 4340700 347359 47 . 00 MEDICAL FEES Community Occupational Health Svs 7169 Solution Center Chicago, IL 60677-7001 Phone: 317-621-0337 FEIN: 35-1955223 Invoice April 02, 2013 Bill to: Lynn Russell For: Cannel Clay Parks & Recreation Cannel Clay Parks & Recreation 3/13 1411 E. 116th St. Cannel, IN 46032- Invoice # 347359 Proc Code Date Description Qty Charge Receipt Adjust Balance 746404 03/22/2013 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 Alex Filer Balance Due: 47.00 Invoice# 347359 Balance Due: 47.00 PLEASE REMIT PAYMENT PROMPTLY Purchase , I I S Tt� Description �_/� P.O.# PorF G.L.# _� OF -3 Y () '7 0U Budget fig ) Line Descr Q Purchas a b 3 Approval Date Cut and return with payment Community Occupational Health Svs 7169 Solution Center Chicago, IL 60677-7001 Phone: 317-621-0337 FEIN: 35-1955223 Invoice April 02, 2013 Bill to: Lynn Russell For: Cannel Clay Parks & Recreation Cannel Clay Parks & Recreation 1411 E. 116th St. Cannel, IN 46032- Invoice # 347005 Proc Code Date Description Qty Charge Receipt Adjust Balance 746404 03/21/2013 Drug Screen-Non NIDA 5 Panel 1.00 47.00 47.00 2/60050 Emily Beebe Balance Due: 47.00 Invoice# 347005 Balance Due: 47.00 PLEASE REMIT PAYMENT PROMPTLY Purchase Description P.O.# PorF G.L.# 3 y(]7UD Budget /� Td / Line Descr' Lm {�'� Purchase Approval Date Cut and return with payment 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. 355031 Community Occupational Health Services Terms 7169 Solution Center Chicago, IL 60677-7001 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 4/2/13 347005 Pre-employment drug testing $ 47.00 412113 347359 Pre-employment drug testing $ 47.00 Total $ 94.00 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. 355031 Community Occupational Health Services Allowed 20 7169 Solution Center Chicago, IL 60677-7001 In Sum of$ $ 94.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 347005 4340700 $ 47.00 1 hereby certify that the attached invoice(s), or 1081-99 347359 4340700 $ 47.00 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 18-Apr 2013 Signature $ 94.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund