188226 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $500.60
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
•y INDIANAPOLIS IN 46268 CHECK NUMBER: 188226
CHECK DATE: 8/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30W641A 500.60 OTHER EXPENSES
r
INVOICE
8500 Georgetown Road
Indianapolis, IN 46268
1 Ell Phone: (317)871 -4090
7
Fax (3 171 871-4U94
TOLL FREE 1- 800 -877 -4955
INVOICE NO: 30W641A
INVOICE DATE,: 7/26 /2010
CLIENT:
PRO.IECT INFORNIATION
PRO.IF,CT Ill:
MR..IOIIN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL, UTILI'T'IES LOCATION:
760 3RD AVENUE SOUTHWEST
CARNIEL, IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR: GREG SPEARS
WORK PERFORMED THRU: 7/2/2010
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE /UNIT TOTAL
DISPOSAL (LANDFILL ROLL OFF BOX) 5.01 60.00 300.60
TRANSPORTATION 1.00 200.00 200.00
"FOTAL
INVOICE, 500.60
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
VOUCHER 105943 WARRANT ALLOWED
00352914 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
3OW641A 01- 736H -08 $500.60
Voucher Total $500.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts ti 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 7/30/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2010 30W641A $500.60
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