226469 11/19/2013 1
CITY OF CARMEL, INDIANA VENDOR: 00351367 Page 1 of 1
ONE CIVIC SQUARE SHERRY LABORATORIES INC
CARMEL, INDIANA 46032 PO BOX 7047,GROUP F CHECK AMOUNT: $272.55
'? INDIANAPOLIS IN 46207-7047
CHECK NUMBER: 226469
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 108359 272 . 55 OTHER EXPENSES
Sherry Laboratories Indiana,LLC
PO Box 7048,Group 3 INVOICE
y ®4JHERRY Indianapolis,IN 46207-7048 Invoice Date: October 29, 2013
LA 8I . .AT.O.R I E 5 TEL:260-471-7000
An Element Materials Technology Company, Website:trtiwSherrylabs.com Print Date: October 29, 2013
Invoice No: 108359
Client PO S 13635
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana,LLC
Teresa Lewis Zach A. Bowman
9609 Hazel Dell Pkwy PO Box 7048, Group 3
Indianapolis,IN 46280-2935 Indianapolis, IN 46207-7048
TEL: TEL:260-471-7000
WorkOrder Test Total Misc. Charge Total Discount Surcharge WorkOrder Total
13100414 $48.00 $0.00 0.1 0 $43.20
13100413 $244.00 $9.75 0.1 0 $229.35
Prepaid: $0.00 Please Pay this amount : $272.55
Sample Details: Analysis Remarks Price
WorkOrder : 13100413
Lab Sample ID: 13100413-001
Date Received: 10/3/2013 AMMONIA as N in SLUDGE $26.91
Client Sample ID: Sludge Produced Sept 2013-Carme METALS IN SOLID BY ICP,3051A Prep $23.32
Matrix: Sludge Metals in Solids by ICP-MS,3050B Prep $104.96
SDG: NITRATE IN SLUDGE $22.43
Project Name: Sept 2013 Sludge PERCENT MOISTURE $10.76
Solids,Total $10.76
SOPREP TOTAL METALS:ICP $13.46
TOTAL KJELDAHL NITROGEN IN SOLIDS $31.40
Miscellaneous Charge Summary F-Test TOTAL: $244.00
Item Unit Qty Total Discount: 10.0%
Retum Shipping_FW $9.75 1 $9.75 Surcharge:1 Surcharge: 0.0%
Miscellaneous Char es: $9.75
Total Workorder Amount:1 $229.35
Pre aid: $0.00
BalanceDue: $229
Comments:
WorkOrder: 13100414
Lab Sample ID: 13100414-001
Date Received: 10/3/2013 Fecal Coliforms in Sludge,MPN $38.40
Client Sample ID: Centrifuge Biosolids"Class A"-Carr Solids,Total $9.60
Matrix: Sludge
SDG:
Project Name: Centrifuge Biosolids Class"A"
Page 1 of 2
Sherry Laboratories Indiana,LLC
PO Box 7048,Group 3 INVOICE
S H E R RY Indianapolis,IN 46207-7048
`LABQR`ATORIES TEL:260-471-7000 Invoice Date: October 29, 2013
An Element Materials.Techno�ogyCompany Website:mvwSherrylabs.com Print Date: October 29, 2013
Invoice No: 108359
Client PO S 13635
Account Code 80142
INVOICE TO: Client ID: CARMEL WWTP REMIT TO:
Carmel WWTP Sherry Laboratories Indiana,LLC
Teresa Lewis Zach A. Bowman
9609 Hazel Dell Pkwy PO Box 7048, Group 3
Indianapolis,IN 46280-2935 Indianapolis, IN 46207-7048
TEL: TEL:260-471-7000
Test TOTAL: $48.00
Discount: 10.0%
Surchar e: 0.0%
Miscellaneous Char es: $0.00
Total Workorder Amount: $43.20
Prepaid:1 $0.00
BalanceDue: $43.20
Comments:
TERMS:
All invoices are due and payable net 30 days from receipt.
Page 2 of 2
VOUCHER # 136822 WARRANT # ALLOWED
351367 IN SUM OF $
SHERRY LABORATORIES INC.
P.O. BOX 1385
INDIANAPOLIS, IN 46206-1385
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
108359 01-7352-05 $272.55
Voucher Total $272.55
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
351367
SHERRY LABORATORIES INC. Purchase Order No.
P.O. BOX 1385 Terms
INDIANAPOLIS, IN 46206-1385 Due Date 11/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/14/201, 108359 $272.55
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