HomeMy WebLinkAbout259569 06/14/16 0'.
CITY OF CARMEL, INDIANA VENDOR: 368571
ONE CIVIC SQUARE HERITAGE CRYSTAL CLEAN, LLC CHECKAMOUNT: $********85.00*
CARMEL, INDIANA 46032 13621 COLLECTIONS CENTER DRIVE CHECK NUMBER: 259569
CHICAGO IL 60693-0136 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14068452 85.00 OTHER EXPENSES
VOUCHER # 165462 WARRANT # ALLOWED
368571 IN SUM OF $
HERITAGE-CRYSTAL CLEAN, LLC
13621 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693-0136
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
14068452 01-736H-08 $85.00
Voucher Total $85.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Heritage-Crystal Clean, LLC Billing Inquiries. (877)938-7948
custsery c stal-clean.com Qz
Invoice Page 1 of 1 Remit to: C Sta 1
13621 COLLECTIONS
Service Location: INDIANAPOLIS CENTER DRIVE C 1 ean®
PO No.: CHICAGO, IL 60693-0136 httpJ/vmw.crystal-clean.com
Service Agreement: 756406 Invoice No: 14068452
Release Info: Date Issued: 06/02/2016
Account No: 153913
Item Total: $85.00
IItltlle�lltt��tlltttltlt'tll�ollttlltttlltlt�ll Pre-paid Amount: $0.00
CARMEL UTILITIES HOUSEHOLD Current Charges: $85.00
ATTN: ACCOUNTS PAYABLE
30 W MAIN Previous Amount Due: $82.50
CARMEL, IN 46032-1361 Total Due: $167.50
Subject to finance charges If payment not received by 07/02/16
Svc Dt Work Order Product Description I Comment Equip Qty Unit Price Tax Amt Total Cost
06/2/16 00-008MYK8 TRIP FEE-USED OIL SERVICE 1 $85.0 $0.0 $85.04-
Item
85.0 -Item Totall: $85.0
This form(invoice)is deemed part of the above referenced Service Agreement between Heritage-Crystal Clean,LLC and the