188147 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 PO Box 264 CHECK AMOUNT: $2,111.50
NOBLESVILLE IN 46061 CHECK NUMBER: 188147
CHECK DATE: 7121/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W00771 2,111.50 OTHER ACCT RECEIVABLE
Fluid Waste Services, Inc. I nvoice
P. O. Box 264
v�b Date Invoice
Noblesville, IN 46061
317 773 -7996 6/2/2010 WO -0771
Bill To
CITY OF CARMEL SEWER COLLECTIONS
760 3rd Ave SW, Suite 110
Cannel, IN 46032
US
P.O. No. Terms Project
VERBAL Net 30
Quantity Description Rate Amount
JUNE 2, 2010
CITY OF CARMEL SEWER COLLECTIONS
VACUUM EXCAVATE HOLE AS DIRECTED
OFFLOAD AT DIRTWORKS TICKET 4857040
CREW: CG /JAKE
UNIT: V 12
8.5 GapVax Unit 225.00 1
1 WATER METER RENTAL AND H2O USAGE FEE 54.00 54.00
1 Landfill Disposal Fees 145.00 145.00
1
Thank You for Your Business.We accept Visa.MC Discover. Please reference Inv. No. On Remittance
Total $2, 1 11.50
:VOUCHER 105848 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
W00771 01- 1420 -00 $2,111.50
J
Voucher Total $2,111.50
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 7/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2010 W00771 $2,111.50
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