190752 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
E til ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 PO Box 264 CHECK AMOUNT: $956.25
s4" NOBLESVILLE IN 46061 CHECK NUMBER: 190752
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1541 956.25 CONT SVS- OTHER -S PLAN
r L
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 9/29/2010 wo -1541
Bill To
CITY OF CARMEL W W "1 "P
760'1 "hird Avenue SW
Carmel, IN 46032
US
P.O. No. Terms Project
VI:RBAI. Due on receipt
Quantity Description Rate Amount
SEPTEMBER 29. 2010
CITY OF CARMEL W WTP
VACUUM GRIT TANK AT PLANT
OFFLOAD ON SITE
CREW: JC /ED V19
4.25 GapVax Unit 225.00 956.25
Thank You for Your Business. We accept Visa,MC Discover. ]"lease reference Inv. No. On Remittance
Total $956.25
VOUCHER 106333 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
1541 01- 7362 -06 $956.25
Voucher Total $956.25
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 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2010 1541 $956.25
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 O i r