HomeMy WebLinkAbout201427 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361011 Page 1 of 1
ONE CIVIC SQUARE STATEWIDE MEDICAL SERVICES CHECK AMOUNT: $75.84
CARMEL, INDIANA 46032 3601 E 9TH ST
INDPLS IN 46201 -2511 CHECK NUMBER: 201427
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4350900 230223 37.92 OTHER CONT SERVICES
1094 4350900 230368 37.92 OTHER CONT SERVICES
1111111 IIIII IIIII IIIII IIIII IIIII IIII Illl
STATEWIDE MEDICAL SERVICES INVOICE
Full Service Medical Waste Disposal
3601 East Ninth Street
Indianapolis, Indiana 46201-2511 Invoice Date Invoice
(3 17) 634 -0801 08/23/2011 230223
Invoice Due: 9/22/2011
Service Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATi
ATTN. ACCOUNTS PAYABLE MONON CENTER
1411 E. 116TH ST. 1235 CENTRAL PARK EAST
CARMEL IN 46032 CARMEL IN 46032 -3455
Account Number: 3210 P.O. Nu mber: Terms: I Net 30
Date Description Manifest Department: Qty Lbs Rate Amount
08/1212011 Regulated Medical Waste 2.25 Cu. Ft. #302557 1 Containers $32.50 $32.50
Box
08/12/2011 Energy Surcharge 302557 1 $5.42 $5.42
Total $37.92
Sales Tax $0.00
Total Invoice Due $37.92
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AUG
2 6 1011 IJ
DESTRUCTION CERTIFIED
Waste destroyed in accordance with all applicable :.........u.......,.,.
federal, state, and local regulations.
Purchase
Description
P.O, orF
.O.#
o.L. 10 -'10509
Budget j 4� /GI/G fl�'�(
LineS.Scr
Purchaser Date
Approval Date
111111 IIIII IIIII IIIII IIIII IIIII Ilfl IIII
STATEWIDE MEDICAL SERVICES INVOI
Full Service Medical Waste Disposal
3601 East Ninth Street
Indianapolis, Indiana 46201-2511 Invoice Date Invoice
(31 634 -0801 08/26/2011 230368
Invoice Due: 9/25/2011
I�I�ol�lls�lloer�all��� loll Service Address:
CARMEL CLAY PARKS RECREATION CARMEL CLAY PARKS RECREATI
ATTN: ACCOUNTS PAYABLE MONON CENTER
1411 E. 116TH ST. 1235 CENTRAL PARK EAST
CARMEL IN 46032 CARMEL IN 46032 -3455
Account Number: 1 3210 P.O. Number: Terms: I Net 30
Date Description Manifest Department: Qty Lbs Rate Amount
08/1912011 Regulated Medical Waste 2.25 Cu. Ft. 303079 1 Containers $32.50 $32.50
Box
OB11912011 Energy Surcharge 303079 1 $5.42 $5.42
Total $37,92
Sales Tax $0.00
Total Invoice Due $37.92
vr
DESTRUCTION CERTIFIED F
Waste destroyed in accordance with all applicable f AUG o 2011
federal, state, and local regulations.
Purchase
Description (►'led(t =aL Wa &ty
P.O.# PorF
G.L. 90
Budoet
Line Descr /1) w1r& AVW
Purchaser Date
Approval Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind mbeervice, units, Where
rice per nit ,dates service rendered, by
rate
whom, rates per day, number of hours, r
Payee Purchase Order No.
361011 Statewide Medical Services Date Due
3601 E. 9th St.
Indianapolis, IN 46201 -2511
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)) 37
8123111 230223 Regulated Medical Waste 37.92
8/26/11 230368 Regulated Medical Waste
Total 75.84
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
Voucher No. Warrant No.
Allowed 20
361011 Statewide Medical Services
3601 E. 9th St.
Indianapolis, IN 46201 -2511 In Sum of
75.84
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1094 230223 4350900 37.92 1 hereby certify that the attached invoice(s), or
1094 230368 4350900 37.92 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
8 -Sep 2011
Signature
75.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund