HomeMy WebLinkAbout253869 01/26/16 1 yt_C�A�
.�_! ;'� CITY OF CARMEL, INDIANA VENDOR: 00352077
• ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*******881.25*
s =� CARMEL, INDIANA 46032 Po BOX 264 CHECK NUMBER: 253869
���oN�� NOBLESVILLE IN 46061 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 WO-15787 881.25 OTHER CONT SERVICES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
1/6/2016 WO-15787
Bill To
City of Carmel Street Department Customer P.O./Job# F.T.#
3400 West 131st Street
Westfield,IN 46074 3864
US
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Project Terms
13515 Dallas Dr Net 30
Description Qty Rate Amount
Date of Work:Wednesday 1-6-2016 1 0.00 0.00
Site Contact:Steve Zeller 317-503-2319,
Site Address: 13515 Dallas Drive
FWS Crew:JG/AR
Units&Equipment:C-22
Water:Provided onsite
Disposal:N/A
Field Notes:
Jet/Rootcut 15"RCP storm sewer line to clear
and restore flow at 13248 Briarwood Trace as
directed.
Crew suggested bringing an easement reel for
access purposes if ever called back to job site.
Jet/vac Combination Cleaning Truck 3.75 235.00 881.25
. s
Thank you for your business-we appreciate it very much! Please reference Invoice#on remittance.
Total $881.25
Payments/Credits $0.00
Balance Due $881.25
VOUCHER NO. WARRANT NO.
FLUID WASTE SERVICES INC ALLOWED 20
PO BOX 264 IN SUM OF$
NOBLESVILLE, IN 46061
$881.25
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member
I WO-15787 I 43-509.00 I $881.25 1 hereby certify that the attached invoice(s), or
2201 201
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
Thursday, January 21, 2016
hY
Cost distribution ledger classification if Street Commissioner
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
01/06/16 WO-15787 $881.25
2201 201
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
20
Clerk-Treasurer