242730 03/03/15 Q
,
CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*******470.00*
CARMEL, INDIANA 46032 PO NOBX 264 IN 46061 CHECK NUMBER: 242730
CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W013135 470.00 OTHER EXPENSES
Fluid Waste Services,Inc. Invoice
P. O. Box 264
Noblesville,IN 46061 Date Invoice#
317 773-7996
2/19/2015 WO-13135
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280 1175
US
Project Terms
Laredo Dr&Nevelle Ln Net 30
Description. Qty Rate Amount
Date of Work:Thursday 2-19-15 1 0.00 0.00
Site Contact:Joe Fawcett 317-716-3905
Site Address:Laredo Dr&Nevelle Ln
FWS Crew:CG
Unit&Equipment:T-09
Field Notes:
Emergency services to locate cause of blockage as directed.
Crew televised(1)10"sanitary line that was capped&(1)8"
line that contained a heavy amount of grease build up at 54%
*Customer noted they will clean more and re-televise at later
time.
Overtime Rate for TV Unit-2 hour minimum 2 235.00 470.00
pl3G,aMM
TERMS NET 30
ADD 5%LATE FEE AFTER 45 DAYS
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total
-..._..$470.00..
Payments/Credits $0.00
Balance Due $470.00
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VOUCHER # 155009 WARRANT # ALLOWED
IN SUM OF $
352077
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
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Carmel Wastewater Utility
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ON ACCOUNT OF APPROPRIATION FOR (r
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! Board members
PO# INV# ACCT# AMOUNT Audit Tail Code
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WO-13135 01-7360-02 $470.00
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Voucher Total $470.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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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 2/25/2015
Invoice Invoice Description
Date Number (or note attached iivoice(s) or bill(s)) Amount
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2/25/2015 WO-13135 f $470.00
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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
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Date icer