311102 05/09/17 CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*****1,189.50*
CARMEL, INDIANA 46032 PO BOX 264 CHECK NUMBER: 311102
' uM NOBLESVILLE IN 46061 CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 WO-19407 1,189.50 OTHER CONT SERVICES
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Fluid Waste Services, Inc. Invoice
P.O. Box 264
Noblesville, IN 46061
Date Invoice#
317-773-7996
4/13/2017 WO-19407
Bill To
City of Carmel Street Department Customer P.O./Job# F.T.#
3400 West 131st Street
Westfield,IN 46074 7571
US
Project Terms
4618 Briarwood-Carmel Net 30
Description Qty Rate Amount
Date:Thursday 4-13-17 1 0.00 0.00
Contact:Steve 317-503-2319
Address:4618 Briarwood-Carmel
Crew:JM/GE/JE
Equipment:C-20&SV w/easement reel
Water:Indy- 1
Disposal:N/A
Notes:
Jet and root cut 15"storm line with easement reel
approx.200'off road to restore flow as directed.
Jet/Vac 3-Man Crew 3.25 295.00 958.75
Water Rental and H2O Usage Fee 1 62.00 62.00
Support Vehicle-Material&Personnel Transport 1 125.00 125.00
Easement Machine Hourly Rate 1.25 35.00 43.75
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total $1,189.50
Payments/Credits $0.00
Balance Due $1,189.50
Fluid Waste Services, Inc. Field Ticket
P.O. Box 264
Noblesville, IN 46061 Date Created F.T.#
317-773-7996
4/6/2017 7571
Invoice# Office Notes
Customer Name/Address
City of Carmel Street Department
3400 West 131 st Street
Westfield,IN 46074
US
Customer P.O./Job# Project
i. 4618 Briarwood-Carmel
]tem G?escriptilon
Field Ticket Info JN Date:
Contact: Steve 317-503-2319
Utility Contact(if applicable):
Address:4618 Briarwood-Carmel to L F j r(f t '�t t / '�'�'ag"ex
Crew: C 4 "GGc� r fl f)�/t dGTO f 5
11�
Equipment: �► t �Cl :
C,<+
J Gt / _
Water: �[�lC,�� — � 'C �� iC`C,
Disposal: L/F- fU/A
Notes:
Root cut 12"concrete pipe as directed.
VAC/J'ET-VAC UNITS Jet/Vac'Combination Cleaning Truck
WATER Water Rental and H2O Usage Fee
New Landfill Disposal T andfflt Disposal pees
prep by kb
lP
M .
FWS Crew#1 f� (2 Eqpt. Customer Signature
Mob 5-- / Job In 4/50ut il (-t®emob-.4,tL-L e
Print Name X
FWS Crew#2 Eqpt. r- L)
Mob �-.,, 46,lob In G N50ut 1 Gv Demob ls7 L t Date G-/ d 7