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HomeMy WebLinkAbout222920 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355990 Page 1 of 2 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC CHECK AMOUNT: $1,852.80 �? CARMEL, INDIANA 46032 PO BOX 968 MADISON IN 47250 CHECK NUMBER: 222920 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 20140284 9 . 60 OTHER EXPENSES 601 5023990 20140683 9 . 60 OTHER EXPENSES 601 5023990 20140684 9 . 60 OTHER EXPENSES 601 5023990 20140888 9 . 60 OTHER EXPENSES 601 5023990 20140889 9 . 60 OTHER EXPENSES 601 5023990 20140890 9 . 60 OTHER EXPENSES 601 5023990 20142603 220 . 80 OTHER EXPENSES 601 5023990 20142605 760 . 00 OTHER EXPENSES 601 5023990 20142607 9 . 60 OTHER EXPENSES 601 5023990 20142611 19 . 20 OTHER EXPENSES 1094 4350900 20143082 120 . 00 OTHER CONT SERVICES 601 5023990 20143166 9 . 60 OTHER EXPENSES 601 5023990 20143168 9 . 60 OTHER EXPENSES CITY OF CARMEL, INDIANA VENDOR: 355990 Page 2 of 2 ONE CIVIC SQUARE ENVIRONMENTAL LABORATORIES INC i CHECK AMOUNT: $1,852.80 CARMEL, INDIANA 46032 Po sox sss MADISON IN 47250 CHECK NUMBER: 222920 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 20143169 9 . 60 OTHER EXPENSES 601 5023990 20143170 220 . 80 OTHER EXPENSES 601 5023990 20143172 9 . 60 OTHER EXPENSES 601 5023990 20143231 9 . 60 OTHER EXPENSES 601 5023990 20143253 9 . 60 OTHER EXPENSES 601 5023990 20143254 57 . 60 OTHER EXPENSES 601 5023990 20143396 9 . 60 OTHER EXPENSES 601 5023990 20143398 28 . 80 OTHER EXPENSES 601 5023990 20143402 9 . 60 OTHER EXPENSES 1094 4350900 20143769 144 . 00 OTHER CONT SERVICES 601 5023990 20143887 128 . 00 OTHER EXPENSES 601 5023990 20143929 9 . 60 OTHER EXPENSES Y JUL 2 4 2013 i�Eir v iroI1mental I 'I nvoice iF -- i abo at©ties;, I1C. i 635 Green Road, PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143082 Paula Schlemmer Invoice Date: 07/24/2013 Carmel-Clay Parks/Monon Community Center Date Received: 07/16/2013 1411 E. 116th St. Order No.: 2013071957 CARMEL, IN 46032 PO No.: - - ---M.- ��- . - � --� Item/Test Name" Quantity Unif-Cost Line Total' Pool Analysis 8 $15.00 $120.00 Poo I NoJer *( 51 '1 r)() MCC -7- ( 3 2ggq2 P f0�) L4 - L-350c)0D (Fold and Cut Here) Invoice Total: $120.00 JUL 31 2013 1wi C�nmental Invoice BY: h)o atories, inc. 635 Green Road, PO Box 968: Madison. IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143769 Paula Schlemmer Invoice Date: 08/01/2013 Carmel-Clay Parks/Monon Community Center Date Received: 07/23/2013 1411 E. 116th St. Order No.: 2013072530 CARMEL, IN 46032 PO No.: I_tem/Test-Name ,s Quantity l unit Cost,- Line Totalj Collection Fee Per Sample 8 $3.00 $24.00 Pool Analysis 8 $15.00 $120.00 ��x/ Vv0_4er CC 7 2313 2ciLigzP 1 9 funul (Fold and Cut Here) Invoice Total: $144.00 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. 355990 Environmental Laboratories, Inc. Terms P.O. Box 968 Madison, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO # Amount 7/24/13 20143082 Pool water testing MCC 7116/13 29492 $ 120.00 8111 20143769 Pool water testing MCC 7/23/13 29492 $ 144.00 Total $ 264.00 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with 1C 5-11-10-1.6 20_ Clerk-Treasurer Voucher No. Warrant No. 355990 Environmental Laboratories, Inc. Allowed 20 P.O. Box 968 _. Madison, IN 47250 In Sum of$ $ 264.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1094 20143082 4350900 $ 120.00 1 hereby certify that the attached invoice(s), or 1094 20143769 4350900 $ 144.00 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 8-Aug 2013 $ 264000 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143929 Kerri Loveall Invoice Date: 08/02/2013 CARMEL-CLAY WATER Date Received: 07/30/2013 3450 W 131st STREET Order No.: 2013072756 Carmel, IN 46074 PO No.: Item/Test Name Quantity _ Unit Gosf Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 0�1U (Fold and Cut Here) Invoice Total: $9.60 Pnvironmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143398 Kerri Loveall Invoice Date: 07/30/2013 CARMEL UTILITIES Date Received: 07/25/2013 3450 W. 131st STREET Order No.: 2013072576 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($7.20) ($7.20) Total Coliform& E.Coli P/A 3 $12.00 $36.00 8-3-t 14-Q (Fold and Cut Here) Invoice Total: $28.80 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143253 Kerri Loveall Invoice Date: 07/26/2013 CARMEL-CLAY WATER Date Received: 07/22/2013 3450 W 131st STREET Order No.: 2013072008 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 V �� Iv (Fold and Cut Here) Invoice Total: $9.60 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143254 Kerri Loveall Invoice Date: 07/26/2013 CARMEL UTILITIES Date Received: 07/22/2013 3450 W. 131st STREET Order No.: 2013072009 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($14.40) ($14.40) Total Coliform & E.Coli P/A 6 $12.00 $72.00 (Fold and Cut Here) Invoice Total: $57.60 Pnvironmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143170 Kerri Loveall Invoice Date: 07/26/2013 CARMEL UTILITIES Date Received: 07/17/2013 3450 W. 131st STREET Order No.: 2013071998 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($55.20) ($55.20) Total Coliform & E.Coli P/A 23 $12.00 $276.00 T)a'� 8- �- I� (Fold and Cut Here) Invoice Total: $220.80 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273,6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20142603 Kerri Loveall Invoice Date: 07/19/2013 CARMEL UTILITIES Date Received: 07/15/2013 3450 W. 131st STREET Order No.: 2013071473 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($55.20) ($55.20) Total Coliform & E.Coli P/A 23 $12.00 $276.00 (Fold and Cut Here) Invoice Total: $220.80 nvir®nmental Invoice aboratories, inc. 635 Green Road,PO Box 968, Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140888 Kerri Loveall Invoice Date: 07/02/2013 CARMEL UTILITIES Date Received: 06/25/2013 3450 W. 131st STREET Order No.: 2013062359 CARMEL, IN 46074 PO No.: i Item/Test Name Quantity Unit Cost Line Total, -20% Discount - 1 ($2.40) ($2.40)_ Total Coliform & E.Coli P/A 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $9.60 nvironmental Invoice ELaboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20142605 Kerri Loveall Invoice Date: 07/19/2013 CARMEL UTILITIES Date Received: 06/13/2013 3450 W. 131st STREET Order No.: 2013061429 CARMEL,IN 46074 PO No.: Item�/Test Name _ Quantity Urnt Cost Llne Tota 20% Discount Applied 1 ($190.00) ($190.00) SOC With Glyphosate 1 $950.00 $950.00 (Fold and Cut Here) Invoice Total: $760.00 r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - m , $760.00 nvironmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143887 Kerri Loveall Invoice Date: 08/02/2013 CARMEL-CLAY WATER Date Received: 07/24/2013 3450 W 131st STREET Order No.: 2013072446 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Totai 20% Discount 1 ($32.00) ($32.00) Copper& Lead 8 $20.00 $160.00 ' 11�� (Fold and Cut Here) Invoice Total: $128.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = 8.00 VOUCHER # 132314 WARRANT # ALLOWED 355990 IN SUM OF $ ENVIRONMENTAL LABORATORIES, IN 63.5 GREEN RD. P.O. BOX 968 MADISON, IN 47250 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 20143929 01-6350-03 " $9.60 'pq 33gs 01.1350-03 , 'QS.sO _101g3J53 01-1035D-o3 ,. q.too A0Iq 325y ol-to350-o3 571&10 ,101 q 311 D D I- ('350-03 ,DI4;Z4,o3 01 -X350-03 Ado-90 aDlgoS9S DI-1v35D-o-3 q.bD '101q 2 5 01 -1-360-05 ; '71-0.ob 101�134��1 D I -Io350-0'3 I g g.Do Voucher Total 4f/,q44.gD $9-60 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 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 355990 ENVIRONMENTAL LABORATORIES, INC. Purchase Order No. 635 GREEN RD. Terms P.O. BOX 968 Due Date 8/6/2013 MADISON, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/6/2013 20143929 $9.60 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 Officer environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20142611 Kerri Loveall Invoice Date: 07/19/2013 CARMEL UTILITIES Date Received: 07/16/2013 3450 W. 131st STREET Order No.: 2013071482 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($4.80) ($4.80) Total Coliform &E.Coli P/A 2 $12.00 $24.00 (Fold and Cut Here) Invoice Total: $19.20 I nvironmental Invoice ELaboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140683 Kerri Loveall Invoice Date: 06/28/2013 CARMEL UTILITIES Date Received: 06/21/2013 3450 W. 131st STREET Order No.: 2013062105 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 0 (Fold and Cut 1-Ire) Invoice Total: $9.60 nvironmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140684 Kerri Loveall Invoice Date: 06/28/2013 CARMEL UTILITIES Date Received: 06/24/2013 3450 W. 131st STREET Order No.: 2013062107 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 (Fold and Cut kte e) Invoice Total: $9.60 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140890 Kerri Loveall Invoice Date: 07/02/2013 CARMEL UTILITIES Date Received: 06/26/2013 3450 W. 131st STREET Order No.: 2013062363 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 Lnf)pa - dC U (Fold and Cut Here) Invoice Total: $9.60 - - — — — - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — t nvironmental Invoice ELaboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140889 Kerri Loveall Invoice Date: 07/02/2013 CARMEL UTILITIES Date Received: 06/25/2013 3450 W. 131st STREET Order No.: 2013062361 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost tine Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $9.60 Environmental-I Invoice Lawratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20140284 Kerri Loveall Invoice Date: 06/24/2013 CARMEL-CLAY WATER Date Received: 06/20/2013 3450 W 131st STREET Order No.: 2013061954 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 I�o�, ►mod (Fold and Cut Here) Invoice Total: $9.60 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143402 Kerri Loveall Invoice Date: 07/30/2013 CARMEL UTILITIES Date Received: 07/25/2013 3450 W. 131st STREET Order No.: 2013072580 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 pal (hop Nwa) (Fold and Cut Here) Invoice Total: $9.60 Environmental 'Ir Invoice Laboratories, Wnc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143396 Kerri Loveall Invoice Date: 07/30/2013 CARMEL UTILITIES Date Received: 07/24/2013 3450 W. 131st STREET Order No.: 2013072573 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 W Cl�u (Fold and Cut Here) Invoice—Total: $9.60 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143172 Kerri Loveall Invoice Date: 07/26/2013 CARMEL UTILITIES Date Received: 07/18/2013 3450 W. 131st STREET Order No.: 2013072000 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 Db C Gwom) (Fold and Cut Here) Invoice Total: $9.60 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143168 Kerri Loveall Invoice Date: 07/26/2013 CARMEL UTILITIES Date Received: 07/17/2013 3450 W. 131st STREET Order No.: 2013071996 CARMEL, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount Applied 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 Fold and Cut Here Invoice Total: $9.60 Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143166 Kerri Loveall Invoice Date: 07/26/2013 CARMEL-CLAY WATER Date Received: 07/17/2013 3450 W 131st STREET Order No.: 2013071994 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 (Fol and Cu)ere) Invoice Total: $9.60 nvironmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143231 Kerri Loveall Invoice Date: 07/26/2013 CARMEL-CLAY WATER Date Received: 07/16/2013 3450 W 131st STREET Order No.: 2013071488 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 Jv B-� -I (Fold a dr (Invoice Total: $9.60 nvironmental Invoice ELaboratories, inc. 635 Green Road,PO Box 968,Madison, IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20143169 Kerri Loveall Invoice Date: 07/26/2013 CARMEL-CLAY WATER Date Received: 07/17/2013 3450 W 131st STREET Order No.: 2013071997 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total 20% Discount 1 ($2.40) ($2.40) Total Coliform & E.Coli P/A 1 $12.00 $12.00 UP �n ao . JC, 0,a& ni (Fold and Cut Here) Invoice Total: $9.60 _. an Environmental Invoice Laboratories, inc. 635 Green Road,PO Box 968,Madison,IN 47250 Tel:812.273.6699 Fax:812.273.5788 Page 1 of 1 Bill To: Invoice No.: 20142607 Kerri Loveall Invoice Date: 07/19/2013 CARMEL-CLAY WATER Date Received: 07/17/2013 3450 W 131st STREET Order No.: 2013071474 Carmel, IN 46074 PO No.: Item/Test Name Quantity Unit Cost Line Total] 20% Discount 1 ($2.40) ($2.40) Total Coliform& E.Coli P/A 1 $12.00 $12.00 (Fold and Cut Here) Invoice Total: $9.60 - - - _�- - - - - - - - - - - - - - - - - - - - - - - - - - o an VOUCHER # 132300 WARRANT # ALLOWED i 355990 IN SUM OF $ ENVIRONMENTAL LABORATORIES, II\ 635 GREEN RD. P.O. BOX 968 MADISON, IN 47250 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 20142611 01-6350-06 1 $19.20 201140&93 oI 6350-OL q.l�o . DI140(A 4 0I-✓0350-010 a G.loD 10140990 01-10350-D& q•I.D ,ADIgo99q 01-06D-0b q,60 ,Jo 1409 4 01-6360-0t, �043402 01 -Io35D-D(. 4,�0 z1g33g10 of-10350-d- 9.luU X0143172 01-635D-0(o a q.foo a1)443W'R oI-6350-04o q ZIy316G o1-Io35D-0(o 4.t� a01�F3�31 o1-6366-0(o , q•(o0 X10143169 01-(0.350.06 , q,too oiDNAWI b1-6350--049 Voucher Total #Igt1,©D $tit 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 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 355990 ENVIRONMENTAL LABORATORIES, INC. Purchase Order No. 635 GREEN RD. Terms P.O. BOX 968 Due Date 8/6/2013 MADISON, IN 47250 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/6/2013 20142611 $19.20 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 3 Date Officer