158782 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $591.00
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
oh `o INDIANAPOLIS IN 46268 CHECK NUMBER: 158782
CHECK DATE: 4130/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28W270 591.00 OTHER EXPENSES
INVOICE
A 8500 Georgetown Road
Indianapolis, IN 46268
m t Phone: (317) 871 -4090
m Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 28W270A -IN
INVOICE DATE: 04/17/2008
CARMEL HHW JOB NUMBER: 28W270
760 3RD AVE SW STE. 110
CARMEL, IN 46032 JOB DESC: LATEX PAINT ROLLOFF
JOB LOCATION:
CONTRACT NO.: S07574
AEC CONTACT: GLS
WORK PERFORMED ON 4/2/08
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
TRANSPORTATION /MILE 1.00 200.00 200.00
BULK NON -REG 4.60 60.00 276.00
ROLL -OFF LINERS 2.00 35.00 70.00
ROLL OFF RENTAL 1.00 45.00 45.00
TOTAL
INVOICE 591.00
INVOICEDUEABT 30 DAYS
LATE PAYMENTS PUL BE CHARGED INTEREST AT 1.5% PER MONTH
3700 W. Grand Ave. Ste. A 410 Production Court
D 0
VOUCHER 085376 WARRANT ALLOWED
00352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapp lis, IN 46268
�r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
28W270 01- 736H -08 $591.00
Voucher Total $591.00
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, Y
price per unit, etc.
Payee
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 4/22/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/22/2008 28W270 $591.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer