243495 03/24/15 q,! CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $rr.."'370.00'
v ;+° CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 243495
9M. NOBLESVILLE IN 46061 CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-13196 370.00 OTHER EXPENSES
Fluid Waste Services,Inc. Invoice
P. O. Box 264
Noblesville,IN 46061 Date Invoice#
317 773-7996
3/3/2015 WO-13196
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280 1241
US
Project Terms
Net 30
Description Qty Rate Amount
Date of Work:Tuesday 3-3-15 1 0.00 ;_0.00
Site Contact:Larry Eidson 317-965-0658 -- - - -
Site Address:450 1 st Ave Southeast-Carmel
FWS Crew:EP/JM
Unit&Equipment:T-28
Field Notes:
Televised 8"sanitary sewer main to launch and locate lateral as directed.
Televising Services Hourly Rate 2 185.00 370.00
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 $370.00
Payments/credits $o:oo
Balance Due $370.00
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VOUCHER # 155163 WARRANT # ALLOWED
IN SUM OF $
352077
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
I.
Carmel Wastewater Utility ;
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT ; Audit Trail Code
WO-13196 01-7360-02 $370.00
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Voucher Total $370.00 i
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
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 3/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2015 WO-13196 $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 511-10-1.6
Date OiWer