221004 06/18/2013 i
CITY OF CARMEL, INDIANA VENDOR: 361476 Page 1 of 1
ONE CIVIC SQUARE CONTAINMENT TECHNOLOGIES GROUP I
o CARMEL, INDIANA 46032 5460 VICTORY DRIVE STE 360 CHECK AMOUNT: $60.00
INDIANAPOLIS IN 46203 CHECK NUMBER: 221004
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CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 13—CTG-1360 60 . 00 OTHER EXPENSES
Conhinxaeht iecinologies Group,Inc. Invoice
Y
5460 Victory Drive, Suite 300 Date Invoice#
Indianapolis, IN 46203
6/3/2013 13-CTG 1360
Phone# 317-713-8200
Fax,.# 317-713-8201
Bill To Ship To
Carmel Waste Water Treatment Carmel Waste Water Treatment
Attn: Lisa Kempa Attn: Lisa Kempa
760 3rd Ave SW Suite 1 10 760 3rd Ave SW
Carmel, IN 46032 Suite 110
Carmel, IN 46032
I
a,
P.O. No. Terms Due Date Tax Exempt# Vendor# Contact Name
I
TARA Due on rece... 6/3/2013 Dave Dye
Item Description Serviced Qty U/M Rate Amount
Certification ... Certification Service 60.00 60.00
1 Fume Hood
Service Tech:Zach Heiden
Service Date:May 29,2013
f
Thank you for your order.
Subtotal $60.00
Total $60.00
Payments/Credits $0.00
Balance Due $60.00
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
361476
CONTAINMENT TECHNOLOGIES GROUP INC Purchase Order No.
5460 VICTORY DRIVE STE 300 Terms
INDIANAPOLIS, IN 46203 Due Date 6/1212013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2013 13-CTG-136( $60.00
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
Date - icer
VOUCHER # 135738 WARRANT # ALLOWED
361476 IN SUM OF $
CONTAINMENT TECHNOLOGIES GRO
5460 VICTORY DRIVE STE 300
INDIANAPOLIS, IN 46203
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
13-CTG-1360 01-7352-05 $60.00
Voucher Total $60.00
Cost distribution ledger classification if
claim paid under vehicle highway fund