HomeMy WebLinkAbout304468 10/31/16 1
9, CITY OF CARMEL, INDIANA VENDOR: 00352914
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $*******785.30*
INDIANAPOLIS CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 304468
9M��r'oei E°, INDIANAPOLIS IN 46268 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36W334-02 785.30 OTHER EXPENSES
VOUCHER # 166407 WARRANT# ALLOWED
00352914 IN SUM OF $
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
36W33402 01-736H-08 785.30
Voucher Total 785.30
Cost distribution ledger classification if
claim paid under vehicle highway fund
INVOICE
8500 Georgetown Road
Indianapolis,IN 46268
Phone: (317)871-4090,
Fax:(317)871-4094
TOLL FREE 1-800-877.4955
INVOICE NO: 36W334-02
INVOICE DATE:10/4/2016
CLIENT:
PROJECT INFORMATION
PROJECT ID:
MR JOHN DUFFY DESCRIPTION: LAMPS
CITY OF CARMEL UTILITIES LOCATION: CAMEL HHW
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 8/17/2016
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
FLUORESCENT LAMPS(1 TO 4FT.) 385.00 $ 0.50 $ 192.50
FLUORSCENT LAMPS(5 PLUS FT.) 280.00 $ 0.95 $ 266.00
COMPACT/U SHAPED/CIRCULAR LAMPS 344.00 $ 0.95 $ 326.80
HID LAMPS 0.00 $ 2.50 $ -
MERCURY 0.00 $ 6.75 $ -
TOTAL
INVOICE $ 785.30
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
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L Generator ID Number 2 Pae 1 of 3.Emergency NOM-HAZARDOUS 9 r9 cY ResPanse PhoneA.Waste Tracking Number `_ (
WASTE MANIFEST v n_J
5.Gerteratoes Name and Mailing Addressj&L7;L 6
Generato?s-9lfd`AddWprcRff&WVah maiiln
CITY OF CARMEL HHW
GeneraloesPhW N. RA.NGELINE ROAD,CARIVIEL, IN 4OL132
6.Transporter 1 Company Name - U.S.EPA ID Number
F 1r; N If.T.RIAI iR .W- f It-, 3y
50
7.Transporter 2 Company Name U.S.EPA ID Number
8.Designated Facility Name and Site Address U.S.EPA ID Number
LIGHTING RESOURCES,INC.
498 PARK 80 DRIVE
FaclillYs PhonOREENI.WOOD,IN 46148 317-888-3889
9.Waste Shipping Name and Description 10.Containers II.Total 12.Unit
No. Type Quantity WtNol:
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: . NOfq-f AZARDGUSITJON-REGULATED FWORESCE14TLAMPS
3
4.
t3. Special Handling instructions and Additional Information
VEAR APPROPRIATE PROi LCTl;a E GEAR VNHEN HANDLING. EMERGENCY CONTACT- AMERICAN INDUSTRIAL SE
14.GENERATOR SJOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shfpping name,and are classified,packaged,
marked and Iabelediplacarded,and are in all respects in proper condition for transport accordntg to applicable international and national governmental regulations.
Generatoes/Offe s Prinledlryped 19 Slgnature Month Day Year
F 15.Irdemational Shipments ❑Import to US. ❑Fxport from U.S. Port of entrylewi:
z Transporter Signature for exports only), Date leaving U.S.:
cc m 16.Transporter Acknowledgment of Receipt of Materials
Transporter 1 Pdntedlryped Name Signature Monlb . Day Year
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Transporter 2 Pdntetifted Name Sgnalure Month Day Year
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17.Discrepancy
17a.Discrepancy Indication Space
❑QuanCly Ll Type El Residue ❑Pariia[Re)ectton ❑Full Rejection
Manifest Reference Number.
17b.Alternate Facility(or Generator) U.S.EPA ID Number
U
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F17c.Signature of Aftemate Facility(or Generator) Month Day Year ti
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1 B.Designated Facility Owner or Operator.Certification of receipt of materials covered by the manifest except as noted In Item
PrintedRyped Name Signature M Day Year
DESIGNATED FACILITY TO GENERATOR