HomeMy WebLinkAbout251535 11/18/15 +e,.C�g4R
` CITY OF CARMEL, INDIANA VENDOR: 00352077
!; ® °1 ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*****2,152.00*
_, ?�, CARMEL, INDIANA 46032 PO BOX 264 CHECK NUMBER: 251535
+M,�,pN�� NOBLESVILLE IN 46061 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
250 4350900 WO-15271 2,152.00 OTHER CONT SERVICES
Fluid Waste Services, Inc. g nvo i ce
P. O. Box 264 2so -u3so�toc7 Invoice
Noblesville, IN 46061 Date Invoice#
317 773-7996
10/29/2015 WO-15271
Bill To
City of Carmel Engineer Customer P.O./Job# F.T.#
Jeremy Kashman
One Civic Square 3344
Carmel, IN 46032
Project Terms
Ist St S.W&4th St S.W-Carmel.In Net 15
Description Qty Rate Amount
Date of Work:Thursday-10-29-15 1 0.00 0.00
Site Contact:Lance Stakley31.7-4397,5515 .
Site Address:-1st St SW&4th St SW-Carmel. 1N -
FWS Crew:EP/TA
Unit&Equipment:T-28 w/minicam equipment
Field Notes:
Televised 6", 12". 15"& 18"storm sewer lines as directed.
Televising Services Hourly Rate 10.5 205.00 2,152.50
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Thank,you.for your business-we appreciate it very much! Please reference Invoice#on remittance.
Total $2,152.50
Payments/Credits $0.00
Balance Due $2,152.50
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
10/29/2015 WO-15271 Cleaning 1st St SW and 4th St SW $ 2,152.00
Total $ 2,152.00
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
$ 2,152.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoice(s), or
0 WO-15271 250-4350900 $ 2,152.00 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
11/16/2015
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund