HomeMy WebLinkAbout160586 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361011 Page 1 of 1
ONE CIVIC SQUARE STATEWIDE MEDICAL SERVICES
CARMEL, INDIANA 46032 3601 E 9TH ST CHECK AMOUNT: $36.45
INDPLSIN 46201 -2511
CHECK NUMBER: 160586
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
1047 4239012 171576 36.45 SAFETY SUPPLIES
I
I
STATEWIDE MEDICAL SERVICES INVOICE
Full Service Medical Waste Disposal 2
3601 East Ninth Street
Indianapolis, Indiana 46201 -2511 61 Invoice Date Invo'
(317) 634 -0801 05/15/200
Invoice Du 6/14/2008 5
Service Address:
CARMEL CLAY PARKS RECREATION 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
05/09/2008 Regulated Medical Waste 2.25 Cu. Ft. 213664 1 Containers $32.50 $32.50
Box
05/09/2008 Energy Surcharge 213664 1 $3.95 $3.95
Total $36.45
Sales Tax $0.00
Total Invoice Due $36.45
'Total past due (See below) $35.50
'Total Current and past due $144.85
Minimum amount due now $35.50
Amount due 6/14/2008 $36. 5
Current and outstanding unpaid invoice history:
Invoice Date Current 30 -60 60 -90 90+
169230 3/31/2008 $0.00 $35.50 $0.00 $0.00
170118 4/17/2008 $36.45 $0.00 $0.00 $0.00
170798 4/30/2008 $36.45 $0.00 $0.00 $0.00
171576 5/15/2008 $36.45 $0.00 $0.00 $0.00
Totals $109.35 $35.50 $0.00 $0.00
DESTRUCTION CERTIFIED
Waste destroyed in accordance with all applicable
federal, state, and local regulations.
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 Purchase Order No.
361011 Statewide Medical Services
3601 E. 9th St. Date Due
Indianapolis, IN 46201 -2511
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5115108 171576 Re ulated Medical Waste 36.45
Total 36.45
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
361011 Statewide Medical Services
3601 F. 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 171576 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
4 -Jun 2008
Signature
36.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund