HomeMy WebLinkAbout257155 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*`**"1,123.50*
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 257155
NOBLESVILLE IN 46061 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 WO-16184 649.50 OTHER CONT SERVICES
203 R4350900 33410 WO-16370 474.00 OTHER CONTR SERVICES
VOUCHER NO. WARRANT NO.
FLUID WASTE SERVICES INC ALLOWED 20
PO BOX 264 IN SUM OF$
NOBLESVILLE, IN 46061
$649.50
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Membei
WO-16184 I 43-509.00 I $649.50 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
Tuesda March 1P, 20h611
�tMet( nmmiccinnar
Cost distribution ledger classification if
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))
03/04/16 WO-16184 $649.50
2201 201
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
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 t?0. 3 3 ti 1 o Date Invoice#
317 773-7996 .Z O _
IZ y 3 50`00
3/28/2016 WO-16370
Bill To
City of Carmel Street Department Customer P.O./Job# F.T.#
3400 West 131st Street
Westfield,IN 46074 4457
US
Project Terms
4611 E.116th Street Net 30
Description Qty Rate Amount
Date:Monday 3-28-2016 1 0.00 0.00
Contact:Steve Zeller 317-503-2319
Address:4611 E. 116th Street
Crew:JM
Equipment:P-25
Water:N/A
Disposal: 1400 gallons-Carmel WWTP#2188
Notes:
Pump out both tanks for house demolition as directed.
Liquid Vacuum Unit 2 195.00 390.00
Disposal Fees-Sludge/Septage 1,400 0.06 84.00
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total $474.00
Payments/Credits $0.00
Balance Due $4,4.00
Service Date: .i ,,- �.. �_f, ;: �: /( FW5 No.o. 13394
Order Date: Fluid Waste Services, Inc.
F.O. Box 264 . Noblesville, IN 46061
Order By: Phone: Phone 317.773.7996 . Fax 317.776.0403
www.fiuidwasteservic'es.coin
Client P.O./Job#
BILLTO: �_ t r ( cTE`�{j �• orf °_��i .
t S� Job Location/Name zz' 11"
Directions
Contact Name Job Contact `7�' �
'Office Fax Office Cel
Job Description by Client=
Job Description byFWS Crew-
Job Complete Yes/No List Work Required-
O `Jet/Vac ❑ Jet ❑ Jet%Mm� ❑ Vac Truck ❑ Hydro Ex Liquid Uac ❑ Tariker ❑ Video ❑ Inspection
FWS Crew#1Eqpt. . F� -t `_ Re,/OT-Qty. Rate
Travel I l: Job In Out LF Travel_ I: i`=
f
.FWS Crew#2 Eqpt. ' Re(Y/OT Qty. Rate
Travel Job In Out Travel
a Supervisor ❑ Labor O Support Vehicle ❑ D`n Pnme Umts'; ❑ Water Thick ❑ Srvc by Others
Eqpt. Reg/OT-Qty Rate
Travel Job In Out Travel
Permits ❑ Teshng.Fee ❑ Perdntin ❑ CSE ❑ Protective Gear ❑ Materials
FWS Other Charges Qty. Total
Vacuum Tube Solid Rate Flex Rate Total - -
Other Materials/Tools/Supplies Qty. Rate Total
Disposal Site t !"' L—) Type Gallons Rate Total .
-Nater Source )1A Qty Rate Total
Disposal Receipt# Total Charges
Terms.All invoice charges are due 30 days from completion date. Finance charges will be applied on overdue
"Invoices at a.rate.of.10%.We accept MasterCard and Visa credit cards for payments. Please reference your in-
N.oice number on:all checks.
`I Acknowledge the Satisfactory Completion of the Above Work.