HomeMy WebLinkAbout187041 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 361011 Page 1 of 1
ONE CIVIC SQUARE STATEWIDE MEDICAL SERVICES CHECK AMOUNT: $36.92
CARMEL, INDIANA 46032 3601 E 9TH ST
INDPLS IN 46201 -2511 CHECK NUMBER: 187041
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 208287 36.92 OTHER CONT SERVICES
111111 IIIII IIIII IIIII IIIII Illll IIII Illl
STATEWIDE MEDICAL SERVICES IN V OIC E
Full Service Medical Waste Disposal
3601 East Ninth Street
Indianapolis, Indiana 46201-2511 Invoice Date Invoice
(317) 634 -0801 05/31/2010 208287
Invoice Due: 6/30/2010
V Service I I I 1 I I I I I I o l l 11 I l 111 loll Address:
CARMEL CLAY PARKS RECREATION BY CARMEL CLAY PARKS RECREATI
ATTN ACCOUNTS PAYABLE 1235 CENTRAL PARK EAST
1411 E. 116TH ST. CARMEL IN 46032 -3455
CARMEL IN 46032
account= Number: 3210 1 P.O. Number: Terms: Net---30,
Date Description Manifest Department: Qty I Lbs Rate Amount
05/2812010 Regulated Medical Waste 2.25 Cu. Ft. #269534 1 Contakners $32.50 $32 -50
Box
05/28/2010 Energy Surcharge 269534 1 $4.42 $4.42
Total $36.92
Sales Tax $0.00
Total Invoice Due $36.92
DESTRUCTION CERTIFIED
Waste destroyed in accordance with all applicable
federal, state, and local regulations.
Purchase REGUL& ft; D 1 vA F- b r C t1 L
Description
P.O. P or F
G.L. 1091 35�goO
e a+hei- �v frac� sVeS
Purchaser flats
Approval Date
i ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
361011 Statewide Medical Services
3601 E. 9th St. Date Due
Indianapolis, IN 46201 -2511
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5131110 208287 Regulated Medical Waste 36.92
Total 36.92
1 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_
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
361011 Statewide Medical Services
3601 E. 9th St,
Indianapolis, IN 46201 -2511 In Sum of
36.92.
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 20$287 4350900 36.92 1 hereby certify that the attached invoice(s), or
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
17 -Jun 2010
Signature
36.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund