246792 06/30/15 ,1+u�CAgMf
CITY OF CARMEL, INDIANA VENDOR: 00352077
\; ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*****1,017.50*
s. _�; CARMEL, INDIANA 46032 PO BOX 264 CHECK NUMBER: 246792
9�'�roe�` NOBLESVILLE IN 46061 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W012897 1,017.50 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 D #
317 773-7996 ate Invoice
1/15/2015 WO-12897
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job#' F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280 514729 936
US
Project Terms
W.Carmel Dr&Gradle St Net 30
Description Qty Rate Amount
Date of Work:Thursday 1-15-15 1 0.00 0.00
Site Contact:Larry Edison 317-965-0658
Site Address:W.Carmel Dr&Gradle St
FWS Crew:EM/RM
Unit&Equipment:T-21
Field Notes
Televised(3)8"VCP lines to locate lateral for 508 W.Carmel Drive as
directed.
Televising Services Hourly Rate 5.5 185.00 1,017.50
pBG,aMM
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total $1,017.50
Payments/Credits $0.00
Balance Due $1,017.50
s
5 O� 6 ►�l
� I
VOUCHER # 155766 WARRANT # ALLOWED
4 IN SUM OF $
352077 -
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061.
Carmel Wastewater Utility
1
ON ACCOUNT OF APPROPRIATION FOR j
Board members
j
PO# INV# ACCT# AMOUNT Audit Trail Code
WO-12897 01-7360-02 $1,017.50
I
Voucher Total $1,017.50
1
Cost distribution ledger classification if 1
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 WO-12897 $1,017.50
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
C
orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer