HomeMy WebLinkAbout189736 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364677 Page 1 of 1
ONE CIVIC SQUARE CLEAN EARTH SYSTEMS INC CHECK AMOUNT: $5,730.00
'a CARMEL, INDIANA 46032 15245 AMBERLY DRIVE
TAMPA FL 33647 CHECK NUMBER: 1$9736
CHECK DATE: 911 412 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 26187 5,730.00 MAT SUPP —HAZ MATERT
Voice: (813) 930 -6688 //voice
Fax: (81'3) 930 -2530 Invoice Number:
r
26187
00000000000000000000000000 ou0 Invoice Date:
S Y S T E M S, I N C.
Aug 31, 2010
15245 AMBERLY DRIVE page:
Tampa, FL 33647 -2155 1
USA
Sold To: Ship to:
City of Carmel HHW Ci of Carmel HHW
7601 3rd Avenue 901 N. Itangeline Road
Attn: 'Bill Kelam Carousel, IN 46032
Carmel, IN 46032
Customer 1D Customer PO Payment Terms
CITY0019 T _21 _1.5_, Net__30_.Days__
Sales Rep ID Ship Method Ship Date Due .Date
MW Airborne 8/26/10 9/30/10
Quantity Item Description Unit Price Extension
160.00 HTW100 CH 11G Triple -Wall Haz Box 34.00 5,440.00
160.00 HL6MIL CH Liner 6 -mil
Subtotal 5,440,00
Sales Tax
Freight 290.00
Total Invoice Amount 5,730.00
Check/Credit Memo No: Payment /Credit Applied
TOTAL 5,730.00
VOUCHER 106192 V�'ARRANT ALLOWED
164677 IN SUM OF
CLEAN EARTH SYSTEMS INC
15245 AMBERLY DRIVE
TAMPA, FL 33647
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
26187 01- 720H -08 $5,730.00
Voucher Total $5,730.00
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
364677
CLEAN EARTH SYSTEMS INC Purchase Order No.
15245 AMBERLY DRIVE Terms
TAMPA, FL 33647 Due Date 9/812010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2010 26187 $5,730.00
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 011cer