CHARDON LABORATORIES- 002673- 2/16/2012 CAMEL REDEVELOPMENT COMMISSION 002673
Chardon Laboratories Check: 2673
7300 Tussing Road Date: 2/16/2012
Reynoldsburg, OH 43068 Vendor: CHARL1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Pak
10073716 1,750.00 1,750.00 0.00 0.00 1,750.0(
Power loop service
1,750.00 1,750.00 0.00 0.00 1,750.0(
THE'KEY TO DOCUMENT SECURITY oiXIMMADTIMAYMIXDIPMEN ADDITIONAL SECURITY FEATURESjINCLUDED SEEBACK Vaj DETAILS r' y)
�Art+t•6OEf. Carmel Redevelopment Commission
/ 30 West Main Street A REGIONS 0 0 26 7 3
20-1421/740
Suite 220
( CnftMFL
°isrrttcl Carmel, IN 46032
DATE AMOUNT 2673
***********
2/16/2012 1,750.00
PAY THE SUM OF ONE THOUSAND SEVEN HUNDRED FIFTY DOLLARS AND NO CENTS **************** '
TO THE
ORDER
OF Chardon Laboratories
7300 Tussing Road
Reynoldsburg, OH 43068
AP
r
P 0 0 2 6 7 310 1:0 740 l 4 2 L 31: 008 7 504 +ti L
CARMEL REDEVELOPMENT COMMISSION 002673
Chardon Laboratories Check: 2673
7300 Tussing Road Date: 2/16/2012
Reynoldsburg, OH 43068 Vendor: CHARL1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
10073716 1,750.00 1,750.00 0.00 0.00 1,750.00
Power loop service
1,750.00 1,750.00 0.00 0.00 1,750.00
I,-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-37228 �P�
p
CHARDON LABORATORIES g a � )NVOICE
Corporate Service&Research Center Invoice No. 10073716
7300 Tussing Road
Reynoldsburg,Ohio 43068
1.800.848.9526
Fax: 614.759.2558
Web: www.chardonlabs.com
ACCOUNTS PAYABLE JOHN DUFFY
CARMEL REDEVELOPMENT COMM CARMEL ENERGY CENTER
30 W MAIN STREET 777 THIRD AVENUE SW
SUITE 220 CARMEL, IN 46032
CARMEL, IN 46032
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.
SALES PERSON : CUSTOMER,NO w INVOICE.DATE
NET 30 297709 1/16/2012
_ ITEM_NO:/DESCRIPTION', UNIT PRICE CITY', °EXTENDED,PRICE
n� 9 %' � �'3.`iS.c 3r+ 5 � �'•S S' 3 .�. f ,.m„� r-,t..
ZFUEL Fuel Surcharge 0.00 1.00 0.00
ZSERVICE PowerPure/Tower/Loop service 1,750.00 1.00 1,750.00
:MIT TO: CHARDON LABORATORIES, INC.
ACCOUNTS RECEIVABLE Sales Total 1,750.00
7300 TUSSING ROAD
REYNOLDSBURG, OHIO 43068 Shipping&Handling 0.00
Misc.Charges 0.00
hereby certify that goods used in conjunction with these services were produced in compliance with all applicable
Tax Total 0.00
iirements of Sections 6,7 and 12 of the Fair Labor Standards Act,as amended and on regulation and orders of the
ed States Department of Labor issued under Section 14,thereof. Less Paid Amount 0.00
nnce charge of 1.5%per month,18%annum,will be added to overdue invoices.
::.TOTAL'" 1,750.00
fgrOntTAWRIW
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
C4et///off vL�,/114c, ' , /ij Purchase Order No.
73G'o rc=a5/0, ®\a<ro Terms
7` /ea��'� r.x -j� C�// `/3&o�� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
/ --(Z. /C/ 7 3 7/6, ��,�� v✓ / �/✓ s,>,-v r /75-0,00-
•
•
•
Total /j75e4UCi
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I ha - _ - -d _ e in accordance
with IC 5-11-10-1.6. /
��'/�, 20 /a' c"."_—;.=-" Treasurer
VOUCHER NO. WARRANT NO.
Tn
ALLOWED 20
/ //
/'�//
IN SUM OF $
7 3 6,0 T s&f:
d�GlG rr/3 L S . GLi,'C 3 GC J
$ 1 , 7s�:�%o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
D PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
%U 106-73 7/6 446'°Ert)7
I�7sL.co bill(s) is (are) true and correct and that the
./(%C'I materials or services itemized thereon for
which charge is made were ordered and
received except
/ - 3C') 20/Z
E :ittitiVie Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund