HomeMy WebLinkAbout232789 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 00352077
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,I ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*******740.00*
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 232789
NOBLESVILLE IN 46061 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-10666 740.00 OTHER EXPENSES
Fluid Waste Services,Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 5/6/2014 WO-10666
Bill To
CITY OF CARMEL UTILITIES
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280
USA
P.O. No. Terms Project
Due on receipt WINDSOR DR
Description Qty Rate Amount
TUESDAY 5-6-14
CONTACT:AARON HOOVER 317-460-6690
SITE:WINDSOR DRIVE
CREW:EM
UNIT:T-21
PERFORMED TELEVISED INSPECTION OF 10'LINE
TO LOCATE CUSTOMER'S JET/CAM AS DIRECTED.
TELEVISE AS DIRECTED-HOURLY RATE 4 185.00 740.00
Invoice prepared by BG,approved by MM
0 TERMS NET 0
D5/LATE FEE AFTjR45DAYS
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On -
Remittance Total $740.00
` — - -- -- ---- ------ -- - - —Payments/Credits— _ —$(o, — — —
Balance Due $740.00
l
VOUCHER # 138051 WARRANT # ALLOWED
352077 IN SUM OF $
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
WO-10666 01-7362-06 $740.00
i
I
Voucher Total $740.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
j 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
352077
FLUID WASTE SERVICES,INC. Purchase Order No.
PO BOX 264 Terms
I Noblesville, IN 46061 Due Date 5/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2014 WO-10666 $740.00
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