165223 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
`l. ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 Po Box 264 CHECK AMOUNT: $7,293.00
FISHERS IN 46038
CHECK NUMBER: 165223
CHECK DATE: 10129/2008
DEPARTMENT A PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0828147 4,433.75 OTHER EXPENSES
651 5023990 S11405 0828472 816.50 VAC LS
j X 651 5023990 S11407 0828484 2,042.75 VAC LS
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Fluid Waste Services, Inc. Invoice
P. O. Box 264 Date Invoice
Noblesville, IN 46061
317 773 -7996 Sue- 8/21/2008 08 -28147
Bill To
CITY OF CARMEL WWTP
760 3rd Ave. S W. Ste. 110
Carmel, IN 46032
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
AUGUST 21, 2008 CR/KK 3556
MARATHON GAS STATION
WEST MAIN GUILFORD RD
BYPASS SANITARY SEWER DUE TO FUEL SPILL
OFFLOAD INTO ONSITE MANHOLE
TOTAL GALLONS: 18.600
10 3600 Gallon Pumper 180.00 1.800.00
10.75 OVERTIME RATE FOR LIQUID VAC UNITS 245.00 2,633.75
Thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $4,433.75
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Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 10/8/2008 08 -28484
Bill To
CITY OF CARMEL WWTP
760 3rd Ave. S W, Ste. 110
Carmel, IN 46032
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
OCTOBER 8. 2008 JD /AR 4133
MEET n SUMMERTRACE
PENNSYLVANIA CARMEL DR
CLEAN LIFT STATIONS AS DIRECTED
SUMMER TRACE, SPRINGMILL PONDS, WOODCREEK, KINGSWOOD, PLUM
CREEK, QUAIL RUN
OFFLOAD AT W WTP
9.25 JET AND VAC WITH COMBINATION CLEANING TRUCK 215.00 1,988.75
1 WATER METER RENTAL AND H2O USAGE FEE 54.00 54.00
Thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $2,042.7
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 10/7/2008 08 -28472
Bill To
CITY OF CARMEL WWTP
760 3rd Ave. S W, Ste. 110
Carmel, IN 46032
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
OCTOBER 7. 2008 KK/AR/JD 3712
106TH HAZEL DELL
VACUUM AND WASH DOWN LIFT STATION
CLEAN DEBRIS FROM TOP ONLY
OFFLOAD AT PLANT a HAZEL DELL
2.5 JET AND VAC WITH COMBINATION CLEANING TRUCK 215.00 537.50
2.5 Labor to perform specific task 90.00 225.00
1 WATER METER RENTAL AND H2O USAGE FEE 54.00 54.00
"Thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $816.50
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VOUCHER 086498 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
b 1 y07 0828484 01- 7360 -04 $2,042.75
582 1 0l• (4ZO.00 Y y 33.15
�oll`I� 6`6 2 )L a.1.t313.0 X16.50
Voucher Total 42.75
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 10/21/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21 /2001 0828484 $2,042.75
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hereby certify that the attached invoice(s), or bill(s) is (are) true and I
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
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Date Officer
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