251070 11/04/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: S*****4,768.25*
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 251070
NOBLESVILLE IN 46061 CHECK DATE: 11104/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 W014623 1,918.25 OTHER CONT SERVICES
651 5023990 W015121 2,850.00 OTHER EXPENSES
G►-� �titer'w�
Fluid Waste Services, Inc. 7-5 0_4 3s O 9 O O Invoice
P. O.Box 264
Noblesville, IN 46061
Date Invoice#
317 773-7996
8/11/2015 WO-14623
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280 2677
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= 1 Project Terms
Old Meridian Culvert Net 30
Description ;i Qty Rate Amount
Date of Work:Tuesday, 8/11/15 1 0.00 0.00
Site Contact:Aaron Hoover (317)571-2307
Site Address:Old Meridian(South of Main Street)
FWS Crew:CG/LM/EM/JC
Units&Equipment:C-23&T-09 w/Arrowboard
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Water:Indy-1
Disposal:Dirtworks-1**Under Carmel's Account**
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Field Notes: '
Pipeline cleaning&televising services for a 36'x 30"CMP culvert j
under Old Meridian as directed.
Crew noted that downstream side needs dug out to restore proper
flow.
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Jet(Vac Combination Cleaning Truck 4 235.00 940.00
Water Rental and H2O Usage Fee 1 62.00 62.00
Arrowboard-Daily Rate 1 250.00 250.00
Televising Services Hourly Rate 3.25 205.00 666.25
PREP BY RCS
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total $1,918.25
Payments/Credits $0.00
Balance Due $1,918.25
Fluid Waste Services,Inc. Field Ticket
P. O. Box 264
Noblesville, IN 46061 Date Created F.T.#
317 773-7996 NA a-'
8/6/2015 2677
Invoice# Office Notes Customer Name/Address
CITY OF CARMEL UTILITIES
9609 HAZELDE LLPKWY
INDIANAPOLIS,IN 46280
us
Customer P.O./Job# 'Project
Old Meridian Culvert
Item Description
Field Ticket Info JN&TV Date of Work:8/11/15 Tuesday 9:00 am
Site Contact:Aaron Hoover (317)571-2307
Site Address:Old Meridian south of Main St.
FWS Crew:
Units&Equipment:
Water:
Disposal: ,i1 E }
Field Notes:
Pipeline Cleaning&televising services for a 36'x 30"CMP culvert under Old Meridian.
Arrowboard and cones required.
VAC/JET-VAC UNITS JetNac Combination Cleaning Truck
,/� µ .
WATER Water Rental and H2O Usage Fee
SolidWaste Landfill Disposal Fees
TVI Televising Services Hourly Rate
PREP BY RCS
FWS Crew#,I ail iL_ EgpQ a !
Mobt w Job In �/i Out;<> ' Demob.i
FWS Crew#2'(--, '6"u! Eqpt. Customer Signature
moc'L&L Job In„ �Out,•'.c LL Demob; '4
;y
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 service rendered, by whom,
rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Fluid Waste Services, Inc. Purchase Order No. .
P.O. Box 264 Terms
Noblesville, IN 46061 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
8/11/2015 WOA4623 Grand and Main Culvert Cleaning $ 1,918.25
Total $ 1,918.25
1 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.
,20
Clerk-Treasurer
VOUCHER NO WARRANT NO.
Fluid Waste Services, Inc. ALLOWED 20
P.O. Box 264 IN SUM OF$
Noblesville, IN 46061
$ 1,918.25
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#orINVOICE NO. ACCT#(TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 WO-14623 250-4350900 $ 1,918.25 bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
11/2/2015'
Sign ure
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
Fluid Waste Services,Inc. Invoice
P. O. Box 264
Noblesville,IN 46061 Date Invoice#
317 773-7996
10/15/2015 WO-15121
Bill To
CITY OF CARMEL UTILITIES Customer P.O./Job# F.T.#
9609 HAZELDELL PKWY
INDIANAPOLIS,IN 46280 S15465 �E 3048
Project Terms ..
River Road Lateral Launch Net 30
Description Qty Rate. Amount
Date of Work: 10/l/15 1 0.00 0.00
Site Contact: Joe Faucett 716-3905,Calvin Cooper 716-3941
Site Address:River Rd.from 116th to 122nd St.
FWS Crew:CG/JM.
Unit&,Equipment:329/S.V.
Field Notes:Pipeline Inspection services to CCTV approx.
1,575 ft of main line sewer and 10 service taps on River Rd.
Calvin,Cooper present until 2:30 pm.Calvin ordered'Carmel
cleaning truck to the site to dewater the last 3 sewer lines.
Jaime((sic)pronounced Himey)relieved Calvin at 3:00 pm.
FWS crew directed by the Carmel Utility Dept.,Jaime&Jeff,
to stay onsite while the Cannel Cleaning truck attempted to
dewater the 3 sewer lines.Project abandoned at 6:00 pm.
Multiple lines(3 out of 8)holding water.
Lateral Launch camera system required.
TRAFFIC CONTROL-FLAGGERS REQUIRED
Lateral Launch System Hourly 10 225.00 2,250.00
Traffic Control-cost per 2 man crew 8.75 100.00 875.00
Arrowboard,Signage,Cones,etc.-Daily,Rate 1 250.00 250.00
Lateral Launch System Hourly -2 225.00 -450.00
Traffic Control-cost per 2 man crew -0.75 100.00 -75.00
Qty.of hours estimated based on:
1.Manhole access being no more than 30 ft.off road.
2.Sewers being free of debris and no cleaning is required to
complete an,inspection. . . _ _ . ' -
PREP BY RCS;:Revised 6y RCS on-10/19/15
Thank you for your business:-we appreciate it very much!Please reference Invoice#on remittance.
Total $2,850.00
Payments/Creditso.00_
Balance Due- $2,850.00
VOUCHER # 156541 WARRANT # ALLOWED
ti
352077 IN SUM OF $
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR j
i
Board members
PO# INV# ACCT# AMOUNT ( Audit Trail Code
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1
WO-15121 01-7360-02 $2,850.00
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Voucher Total $2,850.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
ii
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
j Noblesville, IN 46061 Due Date 10/27/2015
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Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/201: WO-15121 $2,850.00
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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
P D,i
Date Officer