HomeMy WebLinkAbout161570 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 361011 Page 1 of 1
i€ ONE CIVIC SQUARE STATEWIDE MEDICAL SERVICES
CARMEL, INDIANA 46032 3601 E 9TH ST CHECK AMOUNT: $36.45
INDPLS IN 46201 -2511 CHECK NUMBER: 161570
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER A .DESCRIPTION
1047 4239012 172284 36.45 SAFETY SUPPLIES
I�
STATEWIDE MEDICAL S E R V I C E S N V O I C E
Full Service Medical Waste Disposal cl
3601. East Ninth Street N 420Q6
Indianapolis, Indiana 46201 -2511 �u Invoice Date Invoice
(317) 634 -0801 05/30/2008 172284
7 Tom' Invoice Due: 6/29/2008
E'.;a.
JUL 0 1 2008
2 Service Address:
CARMEL CLAY PARKS RECREATION —u CARMEL CLAY PARKS RECREATI
ATTN: ACCOUNTS PAYABLE 1411 E. 116TH ST.
1411 E. 116TH ST. CARMEL IN 46032 -3455
CARMEL IN 46032
Account Number: 3210 P.O. Number: Terms: Net 30
Date Description Manifest Department Qty Lbs Rate Amount
05/2312008 Regulated Medical Waste 2.25 Cu. Ft. 214767 1 Containers $32.50 $32.50
Box
05123/2008 Energy Surcharge 214767 1 $3.95 $3.95
Total $36.45
Sales Tax $0.00
Total Invoice Due $3fi.45
'Total past due (See below) $36.45
*Total Current and past due $109.35
Minimum amount due now $36.45
Amount due 6/29/2008 $36.45
Current and outstanding unpaid invoice history:
Invoice Date Current 30 -60 60 -90 90+
170798 4/30/2008 $0.00 $36.45 $0.00 $0.00
171576 5/15/2008 $36.45 $0.00 $0.00 $0.00
172284 5130/2008 $36.45 $0.00 $0.00 $0.00
Totals $72.90 $36.45 $0.00 $0.00
DESTRUCTION CERTIFIED l 7 u Z 3q(:) 12,
Waste destroyed in accordance with all applicable
federal, state, and local regulations.
f
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
361011 Statewide Medical Services Purchase Order No.
3601 E. 9th St.
Indianapolis, IN 46201 -2511 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
5130108 172284 Regulated Medical Waste Amount
36.45
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accorda Total 36.45 ce
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
ter:
Voucher No. Warrant No.
Allowed 20
361011 Statewide Medical Services
3601 E. 9th St.
Indianapolis, IN 46201 -2511 In Sum of
36.45
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 172284 4239012 36.45 1 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
3 -Jul 2008
Signature
36.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund