173823 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 Po Box 264 CHECK AMOUNT: $1,260.00
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FISHERS IN 46038 CHECK NUMBER: 173823
CHECK DATE: 6/2412009
DEPAR ACCOUNT PO NUMB INVOICE NUMBER AMOU DESCRIPTION
601 5023990 W08742 09 -29912 1,260.00 CLEAN DRAINS
J Fluid Waste Services, Inc. In v o i ce
P. O. Box 264 Date Invoice
Noblesville, IN 46061
317 773 -7996 5/28/2009 09 -29912
Bill To
City of Carmel Water Utilities
3150 W. 131 st St.
Westfield, IN 46074
4
W�
P.O. No. Terms Project
VERBAL Due on receipt
Quantity Description Rate Amount
MAY 28, 2009 JD /AH 5920
PLANT 3 WATER LINE CLEANING PREPARED FOR DAN JENKINS
JET CLEAN WITH CARBIDE CUTTER TO REMOVE BUILD -UP IN
TWO LINES
7 JET TRUCK 180-00 1260.00
WATER PROVIDED BY CUSTOMER
Thank You for Your BIISine55.We accept Visa,MC Discover.Please reference Inv. No. On Remittance
Total S1.260.00
VOUCHER 092089 WARRANT ALLOWED
52077 IN SUM OF
FLUID WASTE SERVICES �p►�
P. O. BOX 264
FISHERS, IN 46038 Q
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
GYGa
09 -29912 01- 42.90 -04 $1,260.00
Voucher Total $1,260.00
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 Purchase Order No.
P. O. BOX 264 Terms
FISHERS, IN 46038 Due Date 6/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2009 09 -29912 $1,260.00
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 J.
Date Officer