167068 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 Po Box 264
CHECK AMOUNT: $729.00
FISHERS IN 46038
CHECK NUMBER: 167068
CHECK DATE: 12117/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
651 5023990 0828833 729.00 OTHER EXPENSES
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Fluid Waste Services, Inc. n Invoice
P. O. Box 264 I'`
Date Invoice
Noblesville, IN 46061 l
317 773 -7996 12/4/2008 08 -28833
Bill To
CARMEL UTILITIES
760 3RD AVE SW
CARMEL, IN 46032
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
DECEMBER 4, 2008 KH /MM 4643
222 BEECHMONT
JET AND ROOTCUT 8" LINES
3 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 675.00
1 WATER METER RENTAL AND H2O USAGE FEE 54.00 54.00
F lanI You for Your Business
Reference Invoice Number on Remittance, We accept Visa and MC Total $729.00
VOUCHER °086899 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
0828833 01- 7360 -02 $729.00
o11
Voucher Total $729.00
r
"'Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. idl (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 12/9/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/9/2008 0828833 $729.00
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 f>
Date Officer