181200 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
's/o ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $595.00
CARMEL, INDIANA 46032 Po Box 264
oN FISHERS IN 46038 CHECK NUMBER: 181200
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W09078 09 -31085 595.00 JET VAC
Fluid Waste Services, Inc. Invoice
P. O. Box 264 Date Invoice
Noblesville, IN 46061
317 773 -7996 12/16/2009 09- 31085
Bill To
City of Carmel Water Utilities
3450 W. 13 I st St.
Westfield, IN 46074
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
DECEMBER 16, 2009 ID 7301
PLANT #4
106TH R. GRAY RD
VACUUM SILT FROM FILTER PRIOR TO REPAIR
OFFLOAD AT BEAVER MATERIALS, INC
2 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 450.00
1 Landfill Disposal Fees 145.00 145.00
h
1
r
Happy Holidays!
Total $595.00
VOUCHER 093960 WARRANT ALLOWED
352077 IN SUM OF Eft fr
FLUID WASTE SERVICEeov
P. O. BOX 264
'FISHERS, IN 46038 A
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
09 -31085 01- 6360 -03 $595.00
P C 19 °I 7 r)
Voucher Total $595.00
`Cost distribution ledger classification if
claim paid under vehicle highway fund
00 D
Prescribed by State Board of Accounts City Form No. 201 (Rev 19S'5)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARIMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352077
FLUID WASTE SERVICES Purchase Order No.
P. 0. BOX 264 Terms
FISHERS, IN 46038 Due Date 12/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/2004 09 -31085 $595.00
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
Date Officer