312388 06/13/17 9, )
CITY OF CARMEL, INDIANA VENDOR: 00352077
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*****1,565.75*
CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 312388 NOBLESVILLE IN 46061 CHECK DATE: 06/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 WO-19764 1,565.75 OTHER CONT SERVICES
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Fluid Waste Services, Inc. Invoice
P.O. Box 264
Noblesville, IN 46061
317-773-7996 Date Invoice#
5/19/2017 WO-19764
Bill To
City of Carmel Street Department Customer P.O./Job# F.T.#
3400 West 131 st Street
Westfield,IN 46074 7928
Us
Project Terms
4895 Deer Ridge Drive North-Cannel Net 30
Description Qty Rate Amount
Date:Friday 5-19-17 1 0.00 0.00
Contact: Steve 317-503-2319
Address:4895 Deer Ridge Drive N.and Gorham Ct.&Waterford
Ln.
Crew:JD/CB/DB
Equipment:C-24&SV with easement machine
Water: Indy- 2
Disposal:N/A
Notes:
Jet/Root cut 12"lines as directed.
JetfVac Combination Cleaning Truck 4.75 235.00 1,116.25
Water Rental and H2O Usage Fee 1 62.00 62.00
Additional Load(s)of Water 1 25.00 25.00
Support Vehicle-Material&Personnel Transport 1 125.00 125.00
Easement Machine Hourly Rate 2.5 35.00 87.50
Labor to Perform Specific Task 2.5 60.00 150.00
Thank you for your business-we appreciate it very much! Please reference Invoice#on remittance.
Total $1,565.75
Payments/Credits $0.00
Balance Due $1,565.75
Fluid Waste Services; Inc. Field Ticket
1
P.O. Box 264
Noblesville, IN 46061 Date Created F.T.#
317-773-7996 5/16/2017 7928
Invoice# Office Notes Customer Name/Address
City of Carmel Street Department
3400 West 131st Street
Westfield,IN 46074
US
Customer P.O./Job# Project
4895 Deer Ridge Drive North-Carmel
Item Description
Field Ticket Info J/V Date:Friday3
5-19-17 �t mhc15� itnd 1�_. ,,:
Contact: Steve 317-503-2319
Utility Contact(if applicable):
Address:4895 Deer Ridge Drive North-Carmel
Crew:
Equipment: -Z�j C 44Mlf.J�4 �£t
Water: Indy- SOZI )
Disposal:
Notes:
Jet/Root cut 12"- 15" RCP with beehive access as directed.
prep kb l
VAC/JET-VAC UNITS Jet/Vac Combination Cleaning Truck
WATER Water Rental and H2O Usage Fee
SUPPORT Support Vehicle-Material&Personnel Transport
Easement Easement Machine Hourly Rate
LABOR Labor to Perform Specific Task /
FWS Crew#1 Eqpt. Q-L
Customer Signature
Mob�Job In f Out '�Demob
Print Name
FWS Crew#2 Eqpt. a r4-1 A0- "
Mob �Z Job In / SQ Out i emob Date