HomeMy WebLinkAbout199456 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $2,250.00
CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 199456
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 WO -3316 2,250.00 STORM SEWER MAINT SUP
Fluid Waste Services, Inc. Invoice
P. 0. Box 264 Date Invoice
Noblesville, IN 46061
317 773 -7996 6 /30/2011 WO -3316
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield, IN 46074
US
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
WEDNESDAY 6/29/11
CONTACT: JIM 691 -6725
SITE: 96T1 -I MONON
CREW: CR/GIO
UNIT: C20
VAC SAND FROM MANHOLES AND JET LINES TO RESTORE FLOW
AS DIRECTED
WATER PROVIDED BY CARMEL
DISPOSAL A "I' CARMEL FACILITY
DID NOT FINI91 -1 WED
CAME BACK THURSDAY
6 /30/11 TO COMPLETE
10 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 2,250.00
TERMS NET 30
ADD 5% LATE FEE AFTER 45 DAYS
Total $2,250.00
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/11 WO -3316 $2,250.00
1 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
Fluid Waste Service
IN SUM OF
P. O. Box 264
Noblesville, IN 46061
$2,250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
206 WO -3316 42- 370.01 $2,250.00 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
Thursday, July 14, 2011
Street Oomsio r
Title
Street' Or; ;rrissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund