162251 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
4� ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $640.80
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 162251
CHECK DATE: 8/7/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
'651 5023990 28W537AIN 640.80 CONT SVS -HAZ WASTE
J
a INVOICE
8500 Georgetown Road
a Indianapolis, IN 46268
Phone: (317) 871 -4090
UL1 U� C�J Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 28W537A -IN
INVOICE DATE: 07/23/2008
CARMEL HHW JOB NUMBER: 28W537
760 3RD AVE SW STE. 110 JOB DESC: CITY OF CARMEL
CARMEL, IN 46032
JOB LOCATION: 901 N. RANGELINE RD
CARMEL, IN
CONTRACT NO.: S07574
AEC CONTACT: GLS
WORK PERFORMED ON 7/1/08
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
TRANSPORTATIONIMILE 1.00 200.00 200.00
BULK- NON -REG 5.43 60.00 325.80
ROLL -OFF LINERS 2.00 35.00 70.00
ROLL OFF RENTAL 1.00 45.00 45.00
TOTAL 640.80
INVOICE
INVOICE DUE NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5% PER MONTH
Production Court
Springfield, IL 62711 www.americanenvironmental.net Louisville, KY 40299
,/OUCHER -086027 WARRANT ALLOWED
)6352914 IN SUM OF
\MERICAN INDUSTRIAL SERVICES
3500 Georgetown Road
ndianapolis, IN 46268
1,
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
28W537AIN 01- 736H -08 $640.80
Voucher Total $640.80
Cost distribution ledger classification if
-laim 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.
z
Payee a
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 7/31/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/31/2008 28W537A1 N $640.80
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