242523 02/24/15 CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: S`"""370.00'
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 242523
NOBLESVILLE IN 46061 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-13074 370.00 OTHER EXPENSES
Fluid Waste Services, Inc.
P. O. Box 264 Invoice
Noblesville, IN 46061
317 773-7996 Date Invoice#
2/10/2015 WO-13074
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS.IN 46280 514814 1112
Us
Project Terms
921 Rangeline rd Net 30
Description Qty Rate Amount
Date of Works Tuesday 2-10-15 .1 � - -- - 0.00 --.
0.00_.
Site•Coritact:Calvin 317-716-3941
Site Address':921 Rarigeline Rd
FWS Crew:EM/JC
Unit&Equipment:T-21
Field Notes
Televise 8"sanitary sewer line to locate cause of blockage as directed.
Televising Services Hourly Rate 2 185.00 370.00
p13G,aMM
TERMS NET 30
ADD 5% ATE FEE AFTER is DAYS
Thank you•for your business-we appreciate it very much! Please reference Invoice#on remittance.
Total $370.00
Payments/Credits
Balance Due $370.00
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.
PO BOX 264 Terms
Noblesville, IN 46061 Due Date 2/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/18/2015 WO-13074 $370.00
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
VOUCHER # 146768 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-13074 01-7360-02 $370.00
Voucher Total $370.00
Cost distribution ledger classification if
claim paid under vehicle highway fund