167991 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
j ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 PO Box 264 CHECK AMOUNT: $1,583.75
FISHERS IN 46038 CHECK NUMBER: 167991
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W08568 08 -28899 1,583.75 CLEAN SALT PITS
Fluid. Waste Services, Inc.
Invoice
P. O. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 08 -28899
Bill To
City of Carmel Water Utilities
3450 W. 131st St
Westfield, IN 46074
1 t
P.O. No. Terms Project
VERBAL. Due on receipt SALT TANKS
Quantity Description Rate Amount
DECEMBER 16, 2008 7D /GE 4727
PLANT #5
SALT TANKS
VACUUM SALT TANKS
OFFLOAD AT BEAVER MATERIALS, INC (2 LOADS)
5.75 .LET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 1,293.75
2 Landfill Disposal Fees 145.00 290.00
i
thank You for Your Business
Please Reference Invoice Number on Remittance, We accept Visa and MC Total $1,583.75
VOUCHER 084027 WARRANT ALLOWED
3.52077 IN SUM OF
FLUID WASTE SERVICES
R! O. BOX 264U I
FISHERS, IN 46038 ;eRP
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
08 -28899 01- 6360 -04 $4,583.75
0.o
Voucher Total $1,583.75
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 Purchase Order No.
P. O. BOX 264 Terms
FISHERS, IN 46038 Due Date 12/31/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3112001 08 -28899 $1,583.75
I 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
Date Officer