221964 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00351811 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOCL CHECK AMOUNT: $426.72
CARMEL, INDIANA 46032 16341 TABLE MOUNTAIN PARKWAY
GOLDEN CO 80403 CHECK NUMBER: 221964
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 690869 426 . 72 OTHER EXPENSES
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A Waters Company
Federal Tax ID: 30-2912479
D&B#O83O85274/Coge# 1R064
Ship To:
Bill To: City of Carmel
Carmel Utilities Carmel WWTP
760 3rd Avenue SW 9609 Hazel Dell Pkvvy
Suite 110 Indianapolis IN 46280
Carmel IN :46032 USA
USA
Attn. Accounts Payable Attn. Teresa Lewis
1 1 0 505 Simple Nutrients,WasteWatRTM P213-505 $66.00 $66.00
1 1 0 4032 Solids,Concentrate,WasteWatR TM P213-4032 $74.00 $74.00
Remit To: For ACHIEFT: $389.00
Environmental Resource Associates Environmental Resource Associat $0.00
16341 Table Mountain Parkway HSBC Bank USA,NA
Golden,CO 80403 452 5th Avenue New York, NY 10008 $0.00
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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 7/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/10/2013 690869 $426.72
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance�with-I�1C 5-11-10-1.6
Date Officer
VOUCHER # 135985 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
690869 01-7352-05 $426.72
Voucher Total $426.72
Cost distribution ledger classification if
claim paid under vehicle highway fund