166670 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $731.25
CARMEL, INDIANA 46032 Po Box 264
M1�.rcn �o. FISHERS IN 46038 CHECK NUMBER: 166670
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT. PO NUMBER IN NUMBER AMOUNT DESCRIPTION
651 5023990 S11440 0828773 731.25 VAC LS
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Fluid Waste Services, Inc. Invoi
P. O. Box 264 l�4
Noblesville, IN 46061 l l Date Invoice
317 773 7996 11 /21/2008 08-28773
Bill To
CITY OF CARMEL W WTP
760 3rd Ave. S W, Ste. 110
Carmel, IN 46032
I
P.O. No. Terms Project
2629 Due on receipt
Quantity Description Rate Amount
NOVEMBER 21, 2008 CR /WS 4560
CITY OF CARMEL LIFT STATIONS
#1 96TH ST
#2 SUMMER TRACE
CLEAN LIFT STATIONS AS DIRECTED TO REMOVE GREASE DEBRIS
OFFLOAD AT W WTP
3.25 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 731.25
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Thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $731.25
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VOUCHER 086769 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0828773 01- 7360 -04 $731.25
a
_s
Voucher Total $731.25
Cost 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
352077
FLUID WASTE SERVICES,INC. Purchase Order No.
PO BOX 264 Terms
FISHERS, IN 46038 Due Date 12/112008
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2008 0828773 $731.25
i
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