HomeMy WebLinkAbout179206 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CHECK AMOUNT: $956.25
CARMEL, INDIANA 46032 Po eox zsa
FISHERS IN 46038 CHECK NUMBER: 179206
CHECK DATE: 11/11/2009
L7EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0930824 956.25 OTHER EXPENSES
Fluid Waste Services, Inc. I n v o i ce
P. 0. Box 264 1� Date Invoice
Noblesville, IN 46061
317 773 -7996 10/26/2009 09 -30824
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel, IN 46032
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
OCTOBER 26, 2009 KH /AH 7087
CARMEL LIFT STATIONS
CLEAN LIFT STATIONS AS DIRECTED
STATIONS AT 96TH ST, 106TI -1 ST AND KINGSWOOD ON GRAY RD
OFFLOAD AT W W "1'P
4.25 JET AND VAC WITH COMBINA'T'ION CLEANING TRUCK 225.00 956.25
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total $956.25
VOUCHER 096657 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
a
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
0930824 01- 7362 -06 $956.25
1 C�
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Voucher Total $956.25
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1905)
ACCOUNTS PAYABLE VOUCHER t
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 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 0930824 $956.25
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F
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