170846 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page. 1 Of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,518.75
CARMEL, INDIANA 46032 PO eox 264
FISHERS IN 46038 CHECK NUMBER: 170846
CHECK DATE: 4!1612009
..-D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11656 0929467 1,518.75 VAC PITS AND LS
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Fluid Waste Services, Inc. Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 3/25/2009 09 -29467
Bill To
CITY OF CARMEL W WTP
9609 HAZEL DELL PKWY
INDIANAPOLIS, IN 46280
P.O. No. Terms Project
VERBAL -Due on receipt
Quantity Description Rate Amount
MARCH 25, 2009 KH/LM 5448
CITY OF CARMEL WWTP
VACUUM AS DIRECTED FOR PM MAINTENANCE
VACUUM FIVE PITS, LIFT STATION cr RANDALL AND PLUMB CREEK
OFFLOAD ON SITE
6.75 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 1,518.75
Thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $1,518.75
VOUCHER 095405 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
:r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0929467 01- 7362 -06 $1,518.75
�4
Voucher Total $1,518.75
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
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 SOX 264 Terms
FISHERS, IN 46038 Due Date 417!2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2009 0929467 $1,518.75
hereby certify that the attached invoice(s), or bill(s) is (are), true and
:orrect and I have a udited same in accordance with IC 5- 11- 10 -1.6
I/ A /f
Date Officer