250981 11/04/15 �•"C IN1,
f CITY OF CARMEL, INDIANA VENDOR: 00352914
d =r ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $'*""'557.60'
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 250981
�M,roN c� INDIANAPOLIS IN 46268 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 35W56601 557.60 OTHER EXPENSES
INVOICE
8500 Georgetown Road
Indianapolis,IN 46268
Phone: (317)871-4090
® ®° Fax:(317)871-4094
TOLL FREE 1-800-877-4955
INVOICE NO: 35NN'566-01
INVOICE DATE:9/28/2015
CLIENT:
PROJECT INFORNIATION
PROJECT ID:
NIR.JOHN DUFF)' DESCRIPTION: ROLL OFT DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLANI PROJECT MGR:GREG SPEARS
WORK PERFORMED TNRU: 10/8/2015
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOY) 5.96 $ 60.00 $ 357.60
TRANSPORTATION 1.00 $ 200.00 $ 200.00
TOTAL
INVOICE $ 557.60
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
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 10/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201! 35W56601 $557.60
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
f D 13"I"r fes�
Date Officer
VOUCHER # 156580 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
35W56601 01-736H-08 $557.60
Voucher Total $557.60
Cost distribution ledger classification if
claim paid under vehicle highway fund