248702 08/26/15 oi.
CITY OF CARMEL, INDIANA VENDOR: 00352914
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECKAMOUNT: $****13,476.37*
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 248702
INDIANAPOLIS IN 46268 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 35W36801 13,476.37 OTHER EXPENSES
INVOICE
A Va I� 8500 Georgetown Road
- e
Indianapolis,IN 46268
Phone: (317)871-4090
® I ®° Fax: (317)871-4094
TOLL FREE 1.800.877-4955
INVOICE NO: 35NV368-01
INVOICE DATE:8/13/2015
CLIENT:
PROJECT INFORMATION
MR.JOHN DUFFY PROJECT Ill:
CITY OF CARMEL UTILITIES DESCRIPTION: DISPOSAL HFINV
30 WEST MAIN STREET,SUITE 220 LOCATION: CITY OF CARMEL
CARMEL,IN 46032
CONTRACT NO 507574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 7/10/2015
WASTE SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
HAZARDOUS MATERIALS TRANSPORTATION 1.00 $ 200.00 $ 200.00
FLAMMABLE LIQUID/GASOLINE(55GAL) 9.00 $ 85.00 $ 765.00
FLAMMABLE AEROSOLS(CUBIC BOX) 3.00 $ 500.00 $ 1,500.00
TOXICS(BOX) 3.00 $ 950.00 $ 2,850.00
TOXICS(30GAL) 0.00 $ 400.00 $ -
FLAMMABLE PAINT(DRUM) 0.00 $ 250.00 $ -
FLAMMABLE PAINT(BOX,METAL) 9172.00 $ 0.78 $ 7,154.16
CORROSIVES(30 GAL) 0.00 $ 220.00 $ -
CLEANERS(NONHAZ-DRUM) 0.00 $ 130.00 $
CLEANERS(NONHAZ-CUBIC BOX) 1.00 $ 375.00 $ 375.00
PCI/TRADEBE ENERGY SURCHARGE(5%) 12644.16 $ 0.05 $ 632.21
NONHAZARDOUS OIL DRY DRUMS $ 85.00 $ -
LAMPS(4 FOOT) $ 0.50 $
LAMPS(5 FOOT+) $ 0.95 $
COMPACT/U SHAPED LAMPS $ 0.95 $
HID LAMPS/HALOGEN $ 2.50 $
TOTAL
INVOICE $ 13,476.37
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
0-
0l 11
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
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 8/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/2015 35W36801 $13,476.37
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 fficer
VOUCHER # 156167 WARRANT # ALLOWED
00352914 IN SUM OF $
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
35W36801 01-736H-08 $13,476.37
Voucher Total $13,476.37
Cost distribution ledger classification if
claim paid under vehicle highway fund