181895 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
c, ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,717.75
CARMEL INDIANA 46032 PO BOX 264
FISHERS IN 46038 CHECK NUMBER: 181895
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09101 10 -31215 1,717.75 JET VAC
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 1/14/2010 10 -31215
Bill To
City of'Carmel Water Utilities
3450 W. 131st St.
Westfield, IN 46074
V
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
.JANUARY 14, 2010 BG /LM 7568
331 W. MAIN
4TH MAIN ST., CARMEL
HYDRO EXCAVATE SERVICE WATER LINE FROM METER PIT TO LEAK.
VACUUM OUT 8" WATER VALVE HYDRO EXCAVATE WATER VALVE TO
SHUT MAIN OFF.
OFFLOAD AT NOBLESVILLE LANDFILL
6.75 JET AND VAC WITI -I COMBINATION CLEANING TRUCK 225.00 1,518.75
1 WATER METER RENTAL AND 1 -120 USAGE FEE 54.00 54.00
1 Landfill Disposal Fees 145.00 145.00
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total $1,717.75
VOUCHER 094190 WARRANT ALLOWED
35077 IN SUM OF
FLUID WASTE SERVICES
P. O. BOX 264
FISHERS, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
cv0 10 -31215 01- 6360 -06 $1,717.75
Voucher Total $1,717.75
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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. O. BOX 264 Terms
FISHERS, IN 46038 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 10 -31215 $1,717.75
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
/2.
Date Officer