159875 05/28/2008 VENDOR: 00352077 CITY OF CARMEL, INDIANA Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
f CARMEL, INDIANA 46032 PO BOX 264 CHECK AMOUNT: $874.00
FISHERS IN 46038
o CHECK NUMBER: 159875
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350400 17570 08 -27304 874.00 SERVICES
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Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date tO8-027304 ice
Noblesville, IN 46061
317 773 -7996 5/7/2008
Bill To
CARMEL STREET DEPARTMENT
3400 W. 131 ST ST
WESTFIELD, IN 46074
P.O. No. Terms Project
VERBAL Net 30
Quantity Description Rate Amount
MAY 7, 2008 JD /JJC 2688
CITY CENTER 3RD AVE SW
VACUUM TWO SAND FILTERS NEAR FOUNTAIN
OFFLOAD AT LANDFILL
3 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 675.00
1 Landfill Disposal Fees 145.00 145.00
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 $874.00
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
I LLt Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�I I r t1kLCOA4 QCd EM 00
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
C ALLOWED 20
t IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
(—`h0 C
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20
Sign t
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund