200711 08/23/2011 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1
ONE CIVIC SQUARE CLAY TWP RWD
CARMEL, INDIANA 46032 PO BOX 40638 CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46240 -0638 CHECK NUMBER: 200711
CHECK DATE: 8/23/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348500 2757 200.00 WATER SEWER
2757 I N VO I C E
CTRWID (lay Township Regional Waste District STREET
10101 N. {ollege Ave. Suite A Indionopalis, IN 46280.1098
(3171844 -9200 fax (311) 844 -9203
e� www.drwd.org
0
Carmel Street Department Carmel Street Department
Attn Dave Huffman Attn Dave Huffman
3400 West 131st St 3400 West 131st St
Westfield, IN 46074 Westfield, IN 46074
FO.B. TERMS
r•
08!01119 Due Upon Receipt
PURCHASE ORDER NUMBER ••r SALESPERSON OUR •'r
FOG Fee discharge j
08101111`
JUANTITY DESCRIPTION
1 1 it 0 I!F(NE1ST FOG Fee Sample Over Limit of FOG Discharge 1 st Violation N! 200.00 200.00
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FOG Fees Discharge samples per 7119 report exceeded the grease Ilmit of FOG Discharge per our
FOG Ordinance. The fee is $200 for this 1 st Notice of Violation. If you wish to dispute this fee, it must
be done in writing within 30 days. See enclosed letter and copy of the Analytical Report.
1
Contact Bob Roudebush at 317- 873 -0564 with any questions. I
NonTaxable Subtotal 200.00
Taxable Subtotal 0.00
Tax 0.00
lApproved by State Board of accounts for Clay Township Regional Waste District 2002 Total Invoice 200.00
Customer Original ghc nk TOU l
@SAIfGUARD_ iininucn o7nn wincFm�nssu Page 1
Sherry Lnhnrnrories Ualerille
�o 9301InnovafionDrive
Ana �e�Or�
�'""I E R RY Daleville, 1N 47334 (continuous)
LABORATORIES 7'kL: 765- 378 -4103 FAX. 765- 378 -4129 WO 11071279
7L' -uY1NG Too—. JNebsrle: tvwtv.Sherrvlahs.cont pate Reported: 7/19/2011
CLIENT: Clay Township Regional Waste District Lab Order: 11071279
Project: Carmel Utilities
Lab ID: 11071279-001 Collection Date: 7/1/2011 3:06:00 PM
Client Sample ID: Carmel Utilities 41 Matrix: WASTE WATER
Analyses Result RL Qual Units DF Date Analyzed
OIL AND) GREASE, TOTAL E1664 Analyst: BJF
Oil Grease, Total 217 33.0 mg /L 1 7/13/2011 5:00:53 PM
OIL AND GREASE, PETROLEUM E1664 Analyst: BJF
Oil Grease, Petroleum 72.4 33.0 mg1L 1 7!1312011 5:00:53 PM
Lab ID: 11071279-002 Collection Date: 7/1/2011 3:08:00 PM
Client Sample ID: Carmel Utilities 42 Matrix: WASTEWATER
Analyses Result RL Qual Units DF Date Analyzed
OIL AND GREASE, TOTAL E1664 Analyst: BJF
Oil Grease, Total 381 19.0 mg1L 1 7113/2011 5:00:53 PM
OIL AND GREASE, PETROLEUM E1664 Analyst: BJF
Oil Grease, Petroleum 181 19.0 mg1L 1 7/1312011 5:00:53 PM
Qualifiers: '/x Value exceeds Maximum C— orminant Level B Analyle detected in the associated Method Blank
E Value above quantization range H Holding times for preparation or analysis exceeded
1 Analyze detected below quantization limits M Manual Integration used to determine area response
ND Not Detected at the Reporting Limit Fill permit Limit
RL Reporting Detection Limit S Spike Recovery outside accepted recovery limits
Page 3 of 6
VOUCHER NO. WARRANT NO.
ALLOWED 20
Clay Township Regional Waste District
IN SUM OF
P. O_ Box 40638
Indianapolis, IN 46240 -0638
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 2757 43- 485.00 $200.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thu i day, P st 18, 2011
i
Street Commissi r
Street GoyMplissioner
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/01/11 2757 $200.00
1 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