165766 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
(0 CHECK AMOUNT: $562.50
CARMEL, INDIANA 46032 Po sox 264
FISHERS IN 46038 CHECK NUMBER: 165766
CHECK DATE: 11/1212008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11420 0828569 562.50 VAC SCUM PIT
i
P s.
Fluid Waste Services, Inc. Invoice
P. O. Boa 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 10/22/2008 08 -2856
Bill To
CITY OF CARMEL W WTP
760 3rd Ave. SW, Ste. 110
Carmel, IN 46032
I
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
OCTOBER 22, 2008 KK /ED 4264
CARMEL WWTP
VACUUM ALGAE MOSS FROM CHANNELS
OFFLOAD INTO DRYING BEDS a PLANT
2.5 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 562.50
Thank You for Your Business
Please Reference Invoice Number on Remittance. We accept Visa and MC Total $562.50
VOUCHER 086595 WARRANT ALLOWED
x,52077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
`ON ACCOUNT OF APPROPRIATION FOR
ry I
Board members
PO INV ACCT AMOUNT Audit Trail Code
0828569 01- 7362 -05 $562.50
P19
v,
Voucher Total $562.50
-ost 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 11/3/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/3/2008 0828569 $562.50
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