174319 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,237.50
-.,.o CARMEL, INDIANA 46032 PO BOX 264
FISHERS IN 46038 CHECK NUMBER: 174319
CHECK DATE: 7/8/2009
DEPA RTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
651 5023990 0930030 675.00 OTHER EXPENSES
651 5023990 0930043 562.50 OTHER EXPENSES
T laid Waste Services, Inc. Invoice
P. 0. Box 264
Date Invoice
Noblesville, IN 46061
317 773 -7996 6/17/2009 09 -30043
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel, IN 46032
P.O. No. Terms Project
2120 Due on receipt
Quantity Description Rate Amount
JUNE 17, 2009 BG /RR 6126
CITY OF CARMEL
VACUUM AND SPRAY DOWN 2 LIFT STA'T'IONS
*NO TRAVEL COSTS
OFFLOAD ON SITE
2.5 JET AND VAC WITH COMBINATION CLEANING "TRUCK 225.00 562.50
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total $562.50
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
31.7 773 -7996 6/16/2009 09 -30030
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
.TUNE 16, 2009 KH /RR 6110
W WTP
VACUUM EXCAVATE AS DIRECTED TO EXPOSE 20" WATER MAIN
OFFLOAD ON SITE
3 JET AND VAC WITH COMBINATION CLEANING TRUCK 225.00 675.00
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total $675.00
VOUCHER 095909 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
4
Board members
PO INV ACCT AMOUNT Audit Trail Code
q/L 0
100 093 01- 7363 -06 $675.00
I I� q 3DO�f 3 Q 1. 3b0.oY S6 z.5�
C)
Voucher Voucher Total ,.$675.00
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 BOX 264 Terms
FISHERS, IN 46038 Due Date 6/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2009 0930030 $675.00
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 gfficer