173710 06/24/2009 CITY OF CARMEL, INDIANA VENDOR:, 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK AMOUNT: $587.60
INDIANAPOLIS IN 46268
CHECK NUMBER: 173710
CHECK DATE: 6/24/2009
DEPARTMENT--------- PO NUMBER IN VOICE N UMBE R AMO UNT D ESCRIPTION
651 5023990 29W496A 587.60 CONT SVS -HAZ WASTE
INVOICE 8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317) 871 -4090
Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 29W496A -IN
INVOICE DATE: 05/31/2009
CARMEL HHW JOB NUMBER: 29W496
760 3RD AVE SW STE. 110
CARMEL, IN 46032 JOB DESC: CITY OF CARMEL
JOB LOCATION: 901 N. RANGELINE RD.
CONTACT: CARMEL, IN
CONTRACT NO.: S07574
AEC CONTACT: GLS
WORK PERFORMED ON 5/27/09
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
TRANSPORTATION/MILE 1.00 200.00 200.00
BULK- NON -REG 6.46 60.00 387.60
TOTAL
INVOICE 587°60
INVOICE D UE NET 3 0 DAY S
LATE PAI WENTS WILL BE CHARGED INTEREST AT 1.5% PER MONTH
3700 W. Grand Ave. Ste. A 410 Production Court
Sp ringfield, IL 62711 www.americanenvironmental.net Louisville, KY 40299
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
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 6/17/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/2009 29W496A $587.60
Q
'x
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
IeA
Date Officer
VOUCHER 095854 WARRANT ALLOWED
0,0352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
29W496A 01- 736H -08 $587.60
S
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1�
Voucher Total $587.60
Cost distribution ledger classification if
claim paid under vehicle highway fund