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HomeMy WebLinkAbout238606 10/28/14 CAA CITY OF CARMEL, INDIANA VENDOR: 00352077 ® ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*******555.00* a CARMEL, INDIANA 46032 PO BOX 264 CHECK NUMBER: 238606 NOBLESVILLE IN 46061 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 WO-12261 555.00 OTHER EXPENSES Fluid Waste Services, Inc. Invoice P. O. Box 264 Noblesville IN 46061 Date Invoice# 317 773-7996 10/10/2014 WO-12261 Bill To CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.# 9609 HAZELDELL PKWY INDIANAPOLIS,IN 46280 514417 286 US Project Terms Due on receipt Description Qty Rate Amount Date of Work:Friday 10-10-14 1 0.00 0.00 Site Contact:Jason Stewart 317-361-2154 Site Address:Pro Med Ln&Smokey Row Rd FWS Crew:AR/RM Unit&Equipment:T-09 Field Notes: Televise and locate sanitary sewer as directed. Televising Services Hourly Rate 3 185.00 555.00 p13G,aMM Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance. Total $555.00 Payments/Credits $0.00 - - Balance Due $555.00 VOUCHER # 145816 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 ,1 WO-12261 01-7360-02 $555.00 4: Voucher Total $555.00 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 352077 FLUID WASTE SERVICES,INC. Purchase Order No. i PO BOX 264 Terms Noblesville, IN 46061 Due Date 10/23/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount I 10/23/201, WO-12261 $555.00 i 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