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HomeMy WebLinkAbout198766 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 361011 Page 1 of 1 ONE CIVIC SQUARE STATEWIDE MEDICAL SERVICES i e CHECK AMOUNT: $35.42 CARMEL, INDIANA 46032 3601E 9TH ST INDPLS IN 46201 -2511 CHECK NUMBER: 198766 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4350900 226140 35.42 OTHER CONT SERVICES i olio iuu iuu iiui lull lull mi uii STATEWIDE MEDICAL SERVICES INVOICE Full Service Medical Waste Disposal 3601 East Ninth Street Indianapolis Indiana 46201-2511 Invoice Date Invoice (3 17) 634 -0801 05/31/2011 226140 Invoice Due: 6/30/2011 D SUNW J UN 0 3 2011 Service Address: CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATI ATTN:ACCOUNTS PAYABLE By CENTER 1411 E. 116TH ST. 1235 CENTRAL PARK EAST CARMEL IN 46032 CARMEL IN 46032 -3455 Account Number: 3210 P,.O._ Number: I Terms: N et_30_. Date Description Manifest Department: Qty Lbs Rate Amount 05/27/2011 No Waste Wasted Trip Charge 297042 1 $30.00 $30.00 05/27/2011 Energy Surcharge 297042 1 $5.42 $5.42 Purchase Total $35.42 Description �EGLUJaTED �E�1 CA L WR Sales Tax $0.00 P.O.# PorF 10` L) Total Invoice Due $35.42 G.L. Bud get h ei,- 30/gt &r VL CC-5 Line Descr Purchaser Date Approval Date DESTRUCTION CERTIFIED Waste destroyed in accordance with all applicable federal, state, and local regulations. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; k n d of service, units, price performed, dates sservice rendered, by whom, rates per day, number of hours, rate per Payee Purchase Order No. 361011 Statewide Medical Services Date Due 3601 E. 9th St. Indianapolis, 1N 46201 -2511 Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 35.42 5!31111 226140 Re ulated Medical Waste Total 35.42 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 20 Clerk- Treasurer Voucher No. Warrant No. Allowed 20 361011 Statewide Medical Services 3601 E. 9th St. Indianapolis, IN 46201 -2511 In Sum of 35.42 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT ArrITLE AMOUNT Board Members Dept 1094 226140 4350900 35.42 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 16 -Jun 2011 Signature 35.42 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund