164578 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
M ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $623.40
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 164578
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT. DESCRIPTIO
651 5023990 28W778AIN 623.40 CONT'SVS -HAZ WASTE
CF.
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A INVOICE 8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317) 871 -4090
o �U Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
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INVOICE NUMBER: 28W778A -IN
INVOICE DATE: 09/29/2008
LARJAMEL HHN`' JOB NUMBER: 28\1'778
760 3RD AVE S\1' STE. 1 10
CARMEL, IN 46032 JOB DESC: CITY Or CARNIEL
JOB LOCATION:
CONTACT:
CONTRACT NO.: S07574
AEC CONTACT: GLS
«'ORK PERFORMED ON 9/8/08
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
TRANSPORTATION/AIILE 1.00 S 200.00 S 200.00
BULK NON -REG 5.89 S 60.00 353.40
ROLL -OFF LINERS 2.00 S 35.00 S 70.00
TOTAL
INVOICE S 623.40
IA'VOICEDUENET 30 DAYS
LATE PAYMENTS GRILL BE CHARGED INTEREST AT 1.5% PER MONTH
3700 W. Grand Ave. Ste. A 410 Production Court
Springfield, IL 62711 www. amer Louisville, KY 40299
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VOUCHER 086396 WARRANT ALLOWED
Ok0352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
s Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2BW778AIN 01- 736H -08 $623.40
z, Voucher Total $623.40
Cyst 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 j
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 10/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/2008 28W778AIN $623.40
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
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Date Officer