187211 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES
CHECK AMOUNT: $9,853.58
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 187211
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30W481A 9,853.58 OTHER EXPENSES
t
INVOICE
8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317)871 -4090
Fax (317) 871 -4094
TOIL FREE 1- 800- 877 -4955
INVOICE NO: 30N
INVOICE DATE: 6/2912010
CLIENT:
PROJECT INFORMATION
MR. JOHN DUFFY PROJECT Ill:
CITY OF CARh1EL. UTILITIES DESCRIPTION: DISPOSAL I-IHW
760 3RD AVENUE SOU'rimFS'1' LOCATION: CITY OF CARMEL
CARNIEL, IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJF,C'I MGR: GRFC. SPEARS
WORK PERFORMED THRU: 614/2010
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE /UN]T TOTAL
HAZARDOUS MATERIALS TRANSPORTATION 1.00 200.00 200.00
FLAMMABLE LIQUID /GASOLINE (55GAL) 2.00 85.00 170.00
FLAMMABLE AEROSOLS (CUBIC BOX) 1.00 500.00 500.00
TOXICS (30GAL) 7.00 400.00 2,800.00
FLAMMABLE PAINT (DRUM) 1.00 250.00 250.00
FLAMMABLE PAINT (BOX, METAL) 5291.00 0.78 4,126.98
CORROSIVES (30 GAL) 2.00 220.00 440.00
CLEANERS (NONHAZ -DRUM) 1.00 130.00 130.00
CLEANERS (NONHAZ -CUBIC BOX) 1.00 375.00 375.00
PCI ENERGY SURCHARGE (5 8991.98 0.05 449.60
LAMPS (4 FOOT) 200.00 0.50 100.00
EMPTY DRUMS 12.00 26.00 312.00
TOTAL
INVOICE 9,853.58
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
VQQUCHER 1057 WARRANT ALLOWED
60352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
30w481A 01- 736H -08 $9,853.58
Voucher Total $9,853.58
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
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 7/1/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2010 30W481A $9,853.58
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
7 f /ice
Date Officer