HomeMy WebLinkAbout321848 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 00352077
°I ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $*****1,930.75*
r° CARMEL, INDIANA 46032 PO Box 264 CHECK NUMBER: 321848
NOBLESVILLEIN 46061 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 W022076 1,930.75 OTHER CONT SERVICES
4F.s
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
vendor# 00352077 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FLUID WASTE SERVICES INC IN SUM OF$ CITY OF CARMEL
PO BOX 264 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
NOBLESVILLE, IN 46061
Payee
$1,930.75 .
^ Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT. Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
WO-22076 43-509.00 $1,930.75 I hereby certify that the attached invoice(s),or 1/25/18 WO-22076 $1,930.75
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, February 05,2018
Huffman, Dave
Director
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
, 20-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Fluid Waste Services, Inc. Invoice
P.O. Box 264
Noblesville, IN 46061 Date Invoice#
317-773-7996
1/25/2018 WO-22076
Bill To
City of Carmel Street Department Customer P.O./Job# F.T.#
3400 West 131st Street
Westfield,IN 46074 10395
US
Project Terms
11003 Jordan Woods Drive Net 30
Description Qty Rate Amount
Date:Thursday 1-25-18 1 0.00 0.00
Contact:Steve Zeller 317-503-2319
Address: 11003 Jordan Woods Drive
Crew:CB/MR
Equipment:V-27
Water: Indy- 1
Disposal:Beaver L/F- I
Notes:
Hydro excavate to locate drain pipe as directed.
Heavy Duty P/D Vacuum Services 7.25 235.00 1,703.75
Water Rental and H2O Usage Fee 1 62.00 62.00
Landfill Disposal Fees 1 165.00 165.00
Thank you for your business-we appreciate it very much!Please reference Invoice#on remittance.
Total $1,930.75
IDEM PERMIT NO.058 Payments/Credits $0.00
Balance Due $1,930.75
.;
Fluid Waste Services, Inc. -Field Ticket
P.O. Box 264
Noblesville, IN 46061. Date Created F.T.#
317-773-7996 1/24/2018 10395
Invoice# Office Notes Customer Name/Address
City of Carmel Street Department
3400 West 131st Street
n r' Westfield,IN 46074
US
t
r
Customer P.O:/Job#• Project,
11003 Jordan Woods Drive
Item r Description
Field Ticket Info J/V Date:Thursday 1-25-18
Arrival Time:9:00 AM
Required Completion Date:
Contact: Steve Zeller 317-503-2319
Utility Contact(if applicable):
Address: 11003 Jordan Woods Drive
Crews
Equipment✓-Z
Water: Indy-
Disposal: �0✓L I- 1
Notes:
Hydro excavate as directed.
Prep
'k Y!,
Z �
FWS Crew 41;V/1(1__ Eqpt\/-Z 7 Customer Signature
Md �i lJob In Out l' i Demob V r
Print Name
FWS Crew#2 Eqpt.
Mobr;` _ Job In Out Demob Date