225353 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00351811 Page 1 of 1
ONE CIVIC SQUARE ENVIRONMENTAL RESOURCE ASSOCI'THECK AMOUNT: $426.72
o CARMEL, INDIANA 46032 16341 TABLE MOUNTAIN PARKWAY
oN c GOLDEN CO 80403 CHECK NUMBER: 225353
CHECK DATE: 10123/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 699520 426 . 72 OTHER EXPENSES
( 4ERA Invoice" ,Kr 699520
Account._._z€ . C397201
9/27/2013
A Waters Company Page < 1
Federal Tax ID: 36-2912479
D&B#083 085 274/Cage# 1 R664
Ship To:
Bill To: City of Carmel
Carmel Utilities Carmel WWTP
760 3rd Avenue SW 9609 Hazel Dell Pkwy
Suite 110 Indianapolis IN 46280
Carmel IN 46032 USA
USA
Attn. Accounts Payable Attn. Teresa Lewis
Pa merit'xTerms4n Shi'" iri' Method k3''. 5 `.jPurcha'se'Order iVo Oriier Number ;r
NET 30 FEDEX ECON S13401 1-4YUSCS100113FE
f �. a...,,.� ; �¢a§ ^,mot,^ L ^r -'Y.:»s�>:^rsY.x"Y, -m,...,...
ORD rCAT# Protluct. ., of/,Pro ect� . ?. .Fk .Unit Pr+ce Ext:Price '�'=a
1 1 0 083 WasteWatRTM Coliforms P210-083 $115.00 $115.00
1 1 0 505 Simple Nutrients,WasteWatRTM P216-505 $66.00 $66.00
1 1 0 977 pH,WasteWatRTM P214-977 $58.00 $58.00
1 1 0 516 Demand,WasteWatRM P216-516 $76.00 $76.00
1 1 0 4032 Solids,Concentrate,WasteWatRM P216-4032 $74.00 $74.00
Remit To: For ACH/EFT: Subfofal j $389.00
Environmental Resource Associates Environmental Resource Associat ;Payment T $0.00
16341 Table Mountain Parkway HSBC Bank USA, NA ;Handling ,,.,' M $10.00
Golden,CO 80403 452 5th Avenue New York, NY 10008 Flax aKr $0.00
800-372-0122/303-431-8454 Account#:000-16397-0 F,,retghtA "{• '' $27.72
fax(303)42-1-0.159 — - - - - Discoai t -$0:00
ABA#:021001088
www.eragc.com rAmou"nt
Swift:MRMDUS33 Currency:USD $426.72
VOUCHER # 136588 WARRANT # ALLOWED
351811 IN SUM OF $
ENVIRONMENTAL RESOURCE ASSOC
16341 Table Mountain Parkway
Golden, CO 80403
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
1
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
699520 01-7202-05 $426.72
i
Voucher Total $426.72
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
351811
ENVIRONMENTAL RESOURCE ASSOCIA Purchase Order No.
16341 Table Mountain Parkway Terms
Golden, CO 80403 Due Date 10/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/10/201: 699520 $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 1C.6-11-10-1.6
Date Officer