187292 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $841.50
1 CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061
CHECK NUMBER: 187292
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W00863 54.00 OTHER EXPENSES
651 5023990 S12195 W00863 787.50 VAC LS
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 6/15/2010 WO -0863
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel, IN 46032
Us
P.O. No. Terms Project
VERBAL Due on receipt AUDOBONN LIFT STATI...
Quantity Description Rate Amount
JUNE 15, 2010
AUDOBONN LIFT STATION
CARMEL WWTP
CALLED IN BY JOE FAUCETT
CREW: CG /JESUS
UNIT: C15
DUMP AT CARMEL WWTP
3.5 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 78750
1 WATER METER RENTAL AND H2O USAGE FEE 54.00 54.00
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total $841.50
VIJUCHER 105713 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
W00863 01- 7360 -04 $787.50
W00863 01- 7360 -04 $54.00
r
Voucher Total $841.50
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,INC. Purchase Order No.
PO BOX 264 Terms
FISHERS, IN 46038 Due Date 6/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/22/2010 W00863 $841.50
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