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HomeMy WebLinkAbout179562 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1 ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK AMOUNT: $11,426.54 INDIANAPOLIS IN 46268 CHECK NUMBER: 179562 CHECK DATE: 11/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 29W875A 10,955.34 CONT SVS -HAZ WASTE 651 5023990 29W962AIN 471.20 CONT SVS -HAZ WASTE A' INVOICE 8500 Georgetown Road gi Id Indianapolis, IN 46268 Phone: (317) 871 -4090 Fax: (317) 871 -4094 TOLL FREE 1 -800- 877 -4955 INVOICE NUMBER: 29W962A -IN INVOICE DATE: 10/31/2009 c ARMEL HHW JOB NUMBER: 29W962 ►NE CIVIC SQUARE CARMEL, IN 46032 JOB DESC: CITY OF CARMEL JOB LOCATION: 901 N. RANGELINE RD CONTACT: CARMEL, IN CONTRACT NO.: 507574 AEC CONTACT: GLS WORK PERFORMED ON 10/22/09 WASTE MANAGEMENT SERVICES DESCRIPTION UNITS PRICE/UNIT TOTAL TRANSPORTATION/MILE 1.00 S 200.00 S 200.00 BULK NON -REG 4.52 60.00 271.20 TOTAL INVOICE 471.20 INVOICE D UE NET 3 0 DAY S LATE P,4 EVENTS TFILL BE CHARGED INTEREST AT 1.5% PER MONTH 3700 W Grand Ave. Ste. A 410 Production Court Springfield, IL 62711 www.americanenvironmental.net Louisville, KY 40299 A 8500 Georgetown Road Indianapolis, IN 46268 Phone: (317) 871 -4090 Fax: (317) 871 -4094 TOLL FREE 1- 800 877 -4955 Invoice No.: 29 W875A Invoice Date: 10/29/09 INVOICE t CLIENT: PROJECT INFORMATION CARNIEL HHW PROJECT I.D.: 29W875 ONE CIVIC SQUARE PROJECT DESCRIPTION: CITY OF CARNIEL CARNIEL, IN 46032 JOB LOCATION: 901 N. RANGELNE RD. CARNIEL, IN CONTRACT NO.: 507574 CONTACT: PROJECT NIANAGER: GREG SPEARS ITEM NO. I DESCRIPTION UNIT QUANTITY PRICE /UNIT TOTAL WORK PERFORI ED ON 9/30/09 WASTE NIANAGEMENT SERVICES HAZARDOUS MATERIALS TRANSPORTATION 1 200.00 200.00 ROLL -OFF L1NVER 10 30.00 300.00 FLANINIABLE LIQUID /GAS 1 85.00 85.00 FLANfN1ABLE AEROSOLS (cubic box) 1 500.00 500.00 TOXICS (30GAL) 8 400.00 3,200.00 FLAMNLABLE LIQUID/PAINT (BOX, METAL) 6,007# 0.78 4,685.46 CORROSIVES 3 220.00 660.00 NON- REGULATED CLEANERS DRUM 1 150.00 150.00 FLUORESCENT LANIPS (1 TO 4FT.) 300 0.50 150.00 HID LAMPS 22 2.50 55.00 COMPACT LANIPS 249 0.75 186.75 E -SCRAP RECYCLING 450# 0.25 112.50 PCI ENERGY SURCHARGE (7 670.63 670.63 TOTAL J $10,955.34 NET DUE 30 DAYS FROM RECEIPT OF INVOICE. LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5% PER MONTH. REMIT AMERICAN INDUSTRIAL SERVICES PAYMENT 8500 GEORGETOWN ROAD TO: INDIANAPOLIS, INDIANA 46268 3700 W Grand Ave. Ste. A 410 Production Court Springfield, IL 62711 www.americanenvironmental.net Louisville, KY 40299 z Tr 7 SHIPPER NO- STRAIGHT BILL OF LADING—SHORT F Ot_M�Oiginal—Not Negotiable CARRIER NO. DATE: WE OF CARRIER) 4 (SCAC) 0 FROM P QI�UT 1 N CnNT� li­US CITY C"IF U 17.. 1 -:1 DNSIGNEE SHIPPER A a 4 -3 K E I I I il�t 1 E D 'Y 90 N. R,�,MGELINE F011-D fREET STREET EA-ST CHICAGO, I IN C,4,RfvlEL IN =S INATION STATE ZIP ORIGIN STATE ZIP U.S. DOT Hazi Reg. No. VEHICLE NUMBER DUTE: FeT FL)IE=TH­LjkN`iINE SALT, 2 ,4-DICHLr lRr 1 PHE 1 1O'iY 4 IT) C A D), 6. !,`Gli (EFG (PC] APPROVAL4241785ND) ­3c c,� 26311, TOXIC SOLIDS, ORGAI*s1 N.O.- 1p CHLORDANE), 61, PGII 1 G 9VA.LF 2 41 7 55 fj ol q, PQ, UNM50, CORR•SIViE LIQUiD, n.o.s. (t. SULFURIC ACID), 8, PG111 (ERG154' �J PPPF1,r:1_k-/.;: it 29 (A C".1LDS f" `j A Cj'DfG CLE A j'_VErR: S")i X F.Q LlIQ17F, O=­`15� I li7,Ul DROXIDE),8,PGII (EI HYDROXIDE, !_30IUM HY' CI APPR OVAL# 294901) (BASIC CLEANERS) 1 A (PC! .EMIT C.O.D. TO: C.O.D. Fee: .DDRESS: co El U AMT: PREPAID :ITY: STATE 21P COLLECT vote. where the rate is dependent on value, shippers are required to state Subject to Section 7 of conditions of applicable bill of lading, if this TOTAL specifically in writing the agreed or declared value of the property. shipment is to be delivered to the consignee without recourse on the ES: Fhe agreed or declared value of the property is hereby specifically stated by consignor, the consignor shall sign the fc9JiA f4 �ta 6 IU S­ The carrier shall not make delivery of this shipment without payment of FREIGHT CHARGES :he shipper to be n ot exceeding M per freight and all other lawful charges. Freight Prepaid Check box VOTE: Liability Limitation for loss or damage in this shipment may be except when if charges 'box at right to be applicable. See 49 U.S.C. 14706(c)(1)(A) and (13). C­qna is checked collect ECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are avaladl the shipper, on request: and all applicable state and federal regulations; the Property described below, in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned: and destined as indicate =low which said company (the word company being understood throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to delivery at said destination, if on its route, or otherwise I ?liver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of said Property over all or any portion of said route to destination and as to each party at any time interested in all or any of said Property th; very service 10 be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof, which are hereby agreed to by the shipper and accepted for himsE id his assigns. 'his is to certify that the above-named materials are properly classified, described, packaged, marked, and labeled, and i .re n proper condition for transportation according to the applicable requfations of th Department of Transportation PER: ;HIPPER: CARRIER: 4 �s 'ER: 21 —2> d PER: DATE: r) MONITORED AT ALL TIMES THE HAZARDOUS MATERIAL IS IN TRANSPORTATION Hf "fir- 3 V, INCLUDING STORAGE INCIDENTAL TO TRANSPORTATION. (1 72.604) FORM NO. 11 -BLC-03 535 (Rev. 11;1 Prescribed by State Board of Accounts r 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 00352914 AMERICAN INDUSTRIAL SERVICES Purchase Order No. 8500 Georgetown Road Terms t. Indianapolis, IN 46268 Due Date 11/17/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/17/2005 29W875A $10,955.34 a 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 VOUCHER 096733 V\rARRANT ALLOWED 00352914 IN SUM OF AMERICAN INDUSTRIAL SERVICES 8500 Georgetown Road Indianapolis, IN 46268 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR ,a Board members PO INV ACCT AMOUNT Audit Trail Code 29W875A 01- 736H -08 $10,955.34 z0 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund