HomeMy WebLinkAbout238606 10/28/14 CAA
CITY OF CARMEL, INDIANA VENDOR: 00352077
® ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*******555.00*
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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
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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
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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