162328 08/07/2008 a CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $562.50
CARMEL, INDIANA 46032 PO BOX 264
FISHERS IN 46038 CHECK NUMBER: 162328
CHECK DATE: 8/7/2008
DEPARTMENT A CCOUNT P NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
X 651 5023990 511273 0827822 562.50 VAC TANK
M
Fluid Waste Services, Inc. �3 In
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 7/1 5/2008 08 -27822
Bill To
CITY OF CARMEL W WTP
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
JULY 15, 2008 GS 3327
GATE 4
CLEANED GRIT FROM ONE TANK ONE TROUGH
OFFLOAD ON SITE
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 085980 WARRANT ALLOWED
X52077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
u+
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0827822 01- 7362 -06 $562.50
Voucher Total $562.50
1�
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 I
FLUID WASTE SERVICES,INC. Purchase Order No.
PO BOX 264 Terms
FISHERS, IN 46038 Due Date 7/28/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2008 0827822 $562.50
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
Date Officer