219897 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
£ ONE CIVIC SQUARE SHERRY LABORATORIES INC CHECK AMOUNT: $272.05
CARMEL, INDIANA 46032 PO BOX 7048,GROUP 3
INDIANAPOLIS IN 46207-7048 CHECK NUMBER: 219897
CHECK DATE: 5/712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 96596 272 . 05 OTHER EXPENSES
Sherry Laboratories Indiana,LLC INV®�C�,
O S H E R RY Pp Box N 48,Group 3 INVOICE
Indianapolis,/N 46207-7048 Invoice Date: April 29, 2013
LABORATORIES TEL:260-471-7000 p
1GSTRt6 roar.Y.PROTGCTINC 10 MORROW Website:ivinv.Sherrvlabs.com Print Date: April 29, 2013
Invoice No: 96596
Client PO: 513448
Account Code: 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana,LLC
Teresa Lewis Zach A. Bowman
9609 Hazel Dell Pkwy 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
13040560 $48.00 $9.25 0.1 0 $52.45
13040563 $244.00 $0.00 0.1 0 $219.60
Prepaid: $0.00 Please Pay this amount : $272.05
Sample Details: Analysis Remarks Price
WorkOrder: 13040560
Lab Sample ID: 13040560-001
Date Received: 4/4/2013 Fecal Coliforms in Sludge,MPN $38.40
Client Sample ID: D3-C1 &C2 Solids,Total $9.60
Matrix: Sludge
SDG:
Project Name: Sludge-Fecal
Miscellaneous Charge Summary Test TOTAL: $48.00
Item ' Unit Qty Total Discount: 10.0%
Return_Shipping_FW $9.25 1 $9.25 Surchar e: 0.0%
Miscellaneous Charges:1 $9.25
Total Workorder Amount:1 $52.45
Prepaid:1 $0.00
BalanceDue: $52.45
Comments:
WorkOrder: 13040563
Lab Sample ID: 13040563-001
Date Received: 4/4/2013 AMMONIA as N in SLUDGE $26,91
Client Sample ID: Sludge Produced March 2013 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: March 2013 Sludge NITRATE IN SLUDGE $22.43
PERCENT MOISTURE $10.76
Solids,Total $10.76
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.40
Page 1 of 2
Sherry Laboratories Indiana,LLC INVOICE
PO Box 7048,Group 3
0 S H E R RY Indianapolis,IN 46207-7048 Invoice Date: April 29, 2013
LABORATORIES TEL:260-471-7000
Print Date: April 29, 2013
TESTING TODAY,PROTCCTINC.TOMORROW Ifebsite:ivitiv Sherrvlabs.Com
Invoice No: 96596
Client PO: 513448
Account Code: 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana,LLC
Teresa Lewis Zach A. Bowman
9609 Hazel Dell Pkwy PO Box 7048,Group 3
Indianapolis,IN 46280-2935 Indianapolis, IN 46207-7048
TEL: TEL:260-471-7000
Test TOTAL: $244.00
Discount: 10.0%
Surcharge: 0.0%
Miscellaneous Charges: $0.00
Total Workorder Amount: $219.60
Prepaid: $0.00
BalanceDue: $219.60
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 2 of 2
VOUCHER # 135409 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
96596 01-7352-05 $272.05
Voucher Total $272.05
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An inv'oiic or-L/lll-LV UC �.JIIJpeF!y ILCIIIILCU-IIIUSr$noW, Kind of! ervite, 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 4/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2013 96596 $272.05
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
Date Officer