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CITY OF CARMEL, INDIANA VENDOR: 00352914
J, I ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $*******542.60*
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 232730
INDIANAPOLIS IN 46268 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 67W54914 542.60 OTHER EXPENSES
INVOICE
_ 8500 Georgetown Road
Indianapolis,IN 46268
�. Phone: (317)871-4090
Fax:(317)871-4094
TOLL FREE 1-800.877-4955
a.
INVOICE NO: 34W216-01
INVOICE DATE:5/9/2014
CLIENT:
PROJECT INFORMATION
PROJECT ID:
MR.JOHN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 4/23/2014
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOX) 5.71 $ 60.00 $ 342.60
TRANSPORTATION 1.00 $ 200.00 $ 200.00
TOTAL
INVOICE $ 542.60
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
VOUCHER # 138059 WARRANT # ALLOWED
00352914 IN SUM OF $
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
67W54914 01-736H-08 $542.60
I
Voucher Total $542.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 5/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2014 67W54914 $542.60
1 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.
Date lbfficer