161253 07/11/2008 Y OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES
CARMEL
INDIANA 46032 8500 GEORGETOWN WN ROAD CHECK AMOUNT: $663.00
4
INDIANAPOLIS IN 46268 CHECK NUMBER: 161253
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28W458AIN 663.00 OTHER EXPENSES
'Ti
r INV OICE 8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317) 871 -4090
Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 28W458A -IN
INVOICE DATE: 06/24/2008
CARD_ IEL HHW JOB NUMBER: 28W458
760 3RD AVE SW STE. I10
CARMEL, IN 46032 JOB DESC: LATEX ROLL OFF BOX 6/3/08
JOB LOCATION:
CONTRACT NO.: 507574
AEC CONTACT: GLS
WORK PERFORMED ON 06/03/08
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
TRANSPORTATION/MILE 1.00 200.00 200.00
BULK NON -REG 5.80 60.00 348.00
ROLL -OFF LINERS 2.00 35.00 70.00
ROLL OFF RENTAL 1.00 45.00 45.00
TOTAL
INVOICE 663.00
INVOICE DUE NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5% PER MONTH
3700 W. Grand Ave. Ste. A 410 Production Court
VOUCHER 085817 WARRANT ALLOWED
00352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
N
Carmel Wastewater Utility
MOW
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
28W458AIN 01- 736H -08 $663.00
Voucher Total $663.00
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
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 6/27/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/27/2008 28W458AIN $663.00
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