HomeMy WebLinkAbout319137 11/30/2017 CITY OF CARMEL, INDIANA VENDOR: 368571
d ONE CIVIC SQUARE HERITAGE CRYSTAL CLEAN, LLC CHECK AMOUNT: $*******212.50*
. � CARMEL, INDIANA 46032 13621 COLLECTIONS CENTER DRIVE CHECK NUMBER: 319137
9f)UN. . CHICAGO IL 60693-0136 CHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 14858014 212.50 OTHER EXPENSES
,a
VOUCHER NO. 176826 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 368571 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
HERITAGE-CRYSTAL CLEAN, LLC CITY OF CARMEL
13621 COLLECTIONS CENTER DRIVE An invoice or bill to be properly itemized must show: kind of service,where performed,
CHICAGO, IL 60693-0136 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
212.50 368571 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR HERITAGE-CRYSTAL CLEAN, LLC Terms
Carmel Wasterwater Utility 13621 COLLECTIONS CENTER DRIVE Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), CHICAGO, IL 60693-0136
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT Which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
14858014 01-736H-08 $212.50 and received except 11/27/2017 14858014 $212.50
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Heritage-Crystal Clean, LLC Invoice
Billing Inquiries:(877)938-7948
HERITAGE-CRYSTAL CLEAN,LLC custsery@crystal-clean.com
`• . 2175 Point Boulevard,Suite 375
C JSta I Elgin,IL 60123 Remit to:13621 COLLECTIONS
CENTER DRIVE
C I ea n® CHICAGO,IL 60693-0136
1of 1
• - 14858014
Date Issued 11/16/2017
Account153913
• $212.50
• •• • $0.00
2311 MB 0.423 E0228X 10250 D3045550925 S2 P4835919 0001:0001 .P.
$212.50
Illllllllllllllllillltllllllllllllllll�ll'I'IIII'IIIII'IIIIII"IIMM=l $0.00
• � -
CARMEL UTILITIES HOUSEHOLD $212.50
ATTN:ACCOUNTS PAYABLE Subject to finance charges if payment not received by 12/16/17
30 W MAIN ST
CARMEL IN 46032-1938 • •• • • • http://www.hccquickconnect.com
• • LSZ QMV FXK
Service Location '• No: A• info:
INDIANAPOLIS - " - -- —
Svc Date Work Order Product Description/Comment Equip QTY Unit Price Tax Amt Total Cost
11/16/2017 00-OOADMPK USED ANTIFREEZE/ETHYLENE GLYCOL 170 $1.25 $0.00 $212.50
Item Total: $212.50
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