173328 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $900.00
�o CARMEL, INDIANA 46032 PO BOX 264
FISHERS IN 46038 CHECK NUMBER: 173328
CHECK DATE: 6/10/2009
DEPAR ACCOUNT PO NUMBER INVOICE N UMBE R AMOU DESCRIPTION
651 5023990 S11709 0929816 900.00 VAC LS
a
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date invoice
Noblesville, TN 46061
317 773 -7996 5/15/2009 09- 29816
Bill To
CITY OF CARMEL WWTP
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
P.O. No, Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
MAY 15, 2009 JD /A.H 5880
MEET AT 106T1 -I ST L/S
CLEAN THREE LIFT STATIONS
106 ST, 96TI -I ST, AND SUMMER TRACE
OFFLOAD AT PLANT
4 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 900.00
Thank You for Your Business.We accept Visa,MC DiscovecPleasc reference Inv. No. On Remittance
Total $900.00
VOUCHER 095734 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICESJNC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0929816 01- 7360 -04 $900.00
O�
P
z
Voucher Total $900.00
I
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER Al
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 6/1/2009 rl.
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1/2009 0929816 $900.00
y
s
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
Date Officer