165640 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK AMOUNT: $623.40
INDIANAPOLIS IN 46268
CHECK NUMBER: 165640
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 28W874A IN 623.40 CONT SVS -HAZ WASTE
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m
INN7010E 8500 Georgetown Road
ON Indianapolis, IN 46268
Phone: (317) 871 -4090
o GHQ Fax: (317) 871 -4094
R�---� TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 28\V -IN
INVOICE DATE: 10/28/2008
CAR-NIEL HHNV JOB NUNIBER: 28NV874
760 3RD AVE S\ STE. I10
CARAMEL, IN 46032 JOB DESC: CITY OF CARAMEL
JOB LOCATION:
CONTACT:
CONTRACT NO.: S07574
AEC CONTACT: GLS
NVORK PERFORMED ON 10/14/08
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
STOP CHARGE 1.00 S 200.00 S 200.00
BULK NON -REG 5.89 S 60.00 S 353.40
ROLL -OFF LINERS 2.00 35.00 S 70.00
TOTAL
INVOICE 623.40
INFOICEDUENET 30 DAYS
LATE PA K14ENTS YVILL BE CHARGED INTEREST AT 1.5% PER 11110AITH
3700 W. Grand Ave. Ste. A 410 Production Court
Springfield, IL 62711 www.amer Louisville, KY 40299
VOUCHER 086623 WARRANT ALLOWED.
00352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO INV ACCT AMOUNT Audit Trail Code
28W874A IN 01- 7361-1-08 $623.40
Voucher Total $623.40
Copt 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 11/5/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2008 28W874A IN $623.40
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
l 3
Date Officer