HomeMy WebLinkAbout258404 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 00352077
® i1 ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: S`••""9,722.50`
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 258404
NOBLESVILLE IN 46061 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 WO-16391 9,722.50 OTHER EXPENSES
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ^NOT.
CARMEL, INDIANA
Favor Of
o. 40X a6 y
�1s/�ergs IN Y6038
Total Amount of Voucher $
Deductions
f1j0 - 3°!f 7szoz
• S2. 3
Amount of Warrant $
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
t--
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title 17
BOYCE FORMS-SYSTEMS 1-800-382-8702 325
Prescribed by State Board of Accounts
Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER.
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or 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
Mo. Day Yr. Signature Title
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.
,4ZV, J
Mo. Day vr. icer Title
Fluid Waste Services, Inc.
P.O. Box 264 �nvoice
Noblesville, IN 46061 Date Invoice#
317-773-7996
3/31/2016 WO-16391
Bill To
Citv of Carmel Water Utilities Customer P.O./Job# F.T.#
3450 W. 131 st.St.
Westfield.IN 46074 4388
US
Project Terms
2016 Filter Media Removal-Daily Net 30
Description Qty Rate Amount
Date:3/29/2016.3!30/2016&3/31/2016 1 0.00 0.00
Contact:Jerry Cloud 317-716-3909
Address:Carmel WTP 05-126th&Hazel Dell
3-29 Crew:CR/LM/BJ-.V27&SV
3-30 Crew:CR/LMBJ-V19&SV
3-31 Crew:CR/LM/BJ/CW/DS/SC-V 19,V31 &SV
Water:N/A
Disposal:Carmel WTP
Notes:
Vacuum truck services with jackhammer to.remove filter media
from filter tanks as directed.
HEAVY DUTY P/D VACUUM SERVICES(HOURLY RATE)3 30" 285.00 8,550.00
MAN CREW
SUPPORT VEHICLE-W/CONFINED SPACE EQPT. 3 150.00 450.00
6"Flex Hose.Vac Tubing-75 every,week 100 2.44 . 244.00
$183.00 per week
6"Solid Vacuum Pipe=5011.every 3 weeks 50 4-.47 223.50
$223.50/3 weeks
Miscellaneous Tools&Equipment-Jackhammer-compressor 3 85.00 255.00
PREP BY RCS
Thank you for your business-we appreciate it muc . lease reference Invoice#on remittance.
Received: Total $9;722.50
-Date: a-- 42 Payments/Credits . $0.00
4
PO #:
0,722.50���� ,��( Balance Due ,722.So
ACCT" #: ( ��,
Use: IJA� rum