HomeMy WebLinkAbout305581 11/28/16 CITY OF CARMEL, INDIANA VENDOR: 368571
® ONE CIVIC SQUARE HERITAGE CRYSTAL CLEAN, LLC CHECK AMOUNT: $********75.00*
r. CARMEL, INDIANA 46032 13621 COLLECTIONS CENTER DRIVE CHECK NUMBER: 305581
CHICAGO IL 60693-0136 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14297258 75.00 OTHER EXPENSES
VOUCHER # 166596 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
14297258 01-736H-08 75.00
Voucher Total 75.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
, LLC Billing Inquiries: (1877)938-7948
Heritage-Crystal Clean
custserv@crystal-clean.com
stat-clean.com �
Invoice Page 1 of 1 Remit to: C rSta
13621 COLLECTIONS
Service Location: INDIANAPOLIS CENTER DRIVE CIE an®
PO No.: CHICAGO, IL 60693-0136 http://wm.crystal-clean.com
Service Agreement: 756406 Invoice No: 14297258
Release Info: Date Issued: 11/03/2016
Account No: 153913
Item Total: $75.00
Itltfl�lltfllttt�tlltttitltttllttlltll�tfttll�lttli Pre-paid Amount: $0.00
CARMEL UTILITIES HOUSEHOLD Current Charges: $75.00
ATTN: ACCOUNTS PAYABLE
30 W MAIN Previous Amount Due: $0.00
CARMEL, IN 46032-1361 Total Due: $75.00
Subject to finance charges If payment not received by 12103/16
Svc Dt Work Order Product Description Comment Equip Qty Unit Price Tax Amt Total Cost
11/3/16 0.0-009611 S USED ANTIFREEZE 150 $0.56 $0.00 $75.00-
Item
75.0 -Item Total $75.0
This form(invoice)is deemed part of the above referenced Service Agreement between Heritage-Crystal Clean,LLC and the