330268 09/21/18 a^% CITY OF CARMEL, INDIANA VENDOR: 00352914
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $*******664.20*
s a�; CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 330268
;ETON�. INDIANAPOLIS IN 46268 CHECK DATE: 09/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 38W17607 664.20 OTHER EXPENSES
VOUCHER NO. 186450 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00352914 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
AMERICAN INDUSTRIAL SERVICES CITY OF CARMEL
8500 Georgetown Road An invoice or bill to be properly itemized must show: kind of service,where performed,
Indianapolis, IN 46268 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
664.20 00352914 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR AMERICAN INDUSTRIAL SERVICES Terms
Carmel Wasterwater Utility 8500 Georgetown Road Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Indianapolis, IN 46268
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
38WI7607 01-736H-08 $664.20 and received except 9/17/2018 38W17607 $664.20
/ l
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
INVOICE
_ 8500 Georgetown Road
Indianapolis,IN 46268
- - . Phone: (317)871-4090
Fax:(317)871-4094
TOLL FREE 1-800-877-4955
INVOICE NO: 38W176-07
INVOICE DATE:9/14/2018
CLIENT:
PROJECT INFORMATION
PROJECT ID:
DESCRIPTION: ROLL OFF DISPOSAL
CARMEL UTILITIES LOCATION:
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO 507574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED T-URU _,.- __ _ _ __8/9/2018__ --
WASTE MANAGEMENT.SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOX) 6.07 $ 60.00 $ 364.20
TRANSPORTATION 1.00 $ 300.00 $ 300.00
TOTAL
- INVOICE $ 664.20
TERMS: NET 30 DAYS
LATE PAYMENTS WILL,BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
INDUSTRIAL1
�1NUTLL-CGS SERVICES INC Work Order: 65959 Route#: 0
2920 E US 52
MORRISTOWN,IN 46161 SITE CELL TICKET# OPERATOR
7657636258
NS 73576 RWATKINS
001001 TRUCK CONTAINER LICENSE
CGS SERVICES ROLLOFF DENNEY-WI-InUO
2920 E US 52
MORRISTOWN,IN 46161 REFERENCE IN OUT
INVOICE
INBOUND- CITY OF CARMEL 8/9/18- 8/9/18
1:29 pm 1:29 pm
CONTRACT: 29-407 GROSS 50,040.00 LBS Scale In Inter Company
BOL: TARE 37,900.00 LBS Tare Out
NET 12,140.00 LBS
QTY UNITDESCRIPTION ORIGIN % RATE TAX TOTAL
6.07 TN' LIQ SPEC WST'DRMS BY TON HAMILTON IN 100.00
Tax Total Total
Paid
I herebv cerdfv that this load does n t c twin anv u aI hazardous waste. Change
Check*
Recpt#
SIGNATURE: ' VOID-DO NOT ACCEPT-FACILITY COPY
ru-i I-C_0-cnn0• 1f3 i 3Z> HtC; 1 MY
FROM FAX N0, May. 23 2005 09;38AM P1
• - '
MAY-18-2005 1145 FEC INDY 317 671 4094 P.02
Gawaau GmbH Schon
wQ.so Qt$-110BD N.=a E.
' Mtartistowrt.1N48161 � S
785->r63.6�58:�i•9DiQ4"i-S�'"75 � '
aa�Maaa fi+UC 7W75MI74
Services .
lne.
NON- oris wax vaRMcAriONI DmPOsaL NOTICE
Re��tvtad fiy�r wl stilaincd a di�a�l i�'lriores d'i�e►of+�1
r: s kwo omora:rgir a�ad .........._...........
W�ctllapll�tx••�uNa► �a�dar+a�r0!d`......_......................;:.................:_.........::,...,»..:::Ye ,..,,..� •..
Cwmra�r i� p �-
Gatataar' C{tttaa N
' Malnng�tdrns: mar
- - zipi.
Sas�Addsas es'.S�, s���cty_ 5sam: gyp:
ab*d Fail loftmtm
Cd*dl 1=01 P.D.11oz Vt l 15i<O N S001s Mot�iaca+Hf,Iht1b 141 ppp.Ye. -0r.
. vVum r�tb�t+ •
V�eof'was� ' -
. ..T t>
oadrteodA"Asnoaatltarot c,•a:`
t��eewtarauketaoa
..11111..., ..ru..M......N..rr ,No:
Dm�!wadER+a�Giaest�{Wbll� •-r,-••••••r �`
Etsdsanraa - •- .
Hedy"Rs WIF(Metals.voC&SVOCg Papaleke ffw alddas
�anObfnalbro NOluae�Am�ur.l[gRt4a coabie�db�l otV1�C'S�3vOC'S.*�aid�dEl�o;deaN not)�mdbiaula aC
"Ge�rl.'mkfs�';s�.msi�vai6gpivsdt�LiOtSat�tlIRQNr�am{atR1�am�Dxsr,+r�gsaua rtes[
WNW"
Qi�[a,�an��Li ands f!`lajs;e e6eelc da tlm:aeplyl p
MF �MOWneriIlliWi.......Nuns...•........•..ru.►r..vier.....p/Nn...►nri..nn.1....Ya� ern:
No tb macerw Gil a pea%Illurlo�tZ►���.... .................,....1.,.......................... -.Yes: Vo:
( +.dotalC +ensu►tiu[asda�4Jncdb*USigi.'.A.tmla at's�mfewatioli... ... ...............
�.�Ya.�7�1�....gy.•a.uu.Ni:N.........0 Nn•.•b........ �� u,i.�i'��
��aatcmns�r.�ttfuedmno�awat<sal�bt�{orMareri,elptu�ir.(PCB's►>o�am30PPM...Yos:�'.Yoc .
a�tega��sAte'dved�t... ... ........... ........ ............................. ... .�fs�:.„_Noe
Weare a(1o[otsaprblooF�me�adng!®t�el�cmMve mhntmand witltwercr�............ ...:Ye �,�1
i�a►�o tt+a ebee� RleC,o1*thl{wata abgd 9itu�a►�aca aeeatnlniog was:par�oc -
By.al8001 e!h wane sroelt{eatlon skew.(bac--p==.tde al ova iR60gapwe Co dais VM=t UNCIft Is anh:cnd
maete. b<xeb!adcoa«kd ttsasdocWa*ota bac s paei ache We."G_d.=wWdm«dll bamade aratL*c:ipm
iegstasc to the lt�ad5n't+tsd [yt,
--- ----__-- hGcsdaaorSi�xsas�_• - K. ---- --- =•---YJo:- .'. - - mr - ��^--------- ---- ------
Nt{sual teorltietle tr, :.rn Cb. arae tit u � Z ,-ro
Ysa1fsat,�tt to br opt p1 Ips GRdQtI pri1(e7f
NanrMOesfdottsYht(b' _HptorNF; _:. ' Eliaappaive��_ . ;.
APPsadtsyt� DOME o�
Vai6cioa�Noastiet: 2d X04 _ _ .
• - •�" ltti�liagAdWloaeo .
DIRPOUG sM 1l OIRM TION
Si eNaosa C05 aa,lee Laedlll! OPP�tpr '7�1 watsRifbfwtaRliG �o.D"7T
ritltlsoRaOd.Si t�CC ..—
.1