173200 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
s 0 ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $906.60
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
o� INDIANAPOLIS IN 46268 CHECK NUMBER: 173200
CHECK DATE: 6/10/2009
DEPART ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
651 5023990 29W393A 606.60 CONT SVS -HAZ WASTE
':'651 5023990 29W448A 300.00 CONT SVS -HAZ WASTE
8500 Georgetown Road
INVOICE Indianapolis, IN 46268
Phone: (317) 871 -4090
Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 29W448A -IN
INVOICE DATE: 05/28/2009
CARMEL HHW JOB NUMBER: 29W448
760 3RD AVE SW STE. 110
CARMEL, IN 46032 JOB DESC: CITY OF CARMEL
JOB LOCATION:
CONTACT:
CONTRACT NO.: 507574
AEC CONTACT: GLS
WORK PERFORMED ON 5/26/09
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICE/UNIT TOTAL
ROLL -OFF LINERS 10.00 30.00 300.00
TOTAL 300.00
INVOICE
INVOICE DUE NET 30 DAYS
LATE PAYMENTS WILL 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
111 ajgl�
8500 Georgetown Road
INVOICE Indianapolis, IN 46268
Phone: (317) 871 -4090
o °r Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
INVOICE NUMBER: 29W393A -IN
INVOICE DATE: 05/28/2009
CARMEL HHW JOB NUMBER: 29W393
760 3RD AVE SW STE. I10
CARMEL, IN 46032 JOB DESC: CITY OF CARMEL
JOB LOCATION:
CONTACT:
CONTRACT NO.: S07574
AEC CONTACT: GLS
WORK PERFORMED ON 4/28/09
WASTE MANAGEMENT SERVICES
DESCRIPTION UNITS PRICEXNIT TOTAL
TRANSPORTATION/MILE 1.00 200.00 200.00
BULK- NON -REG 5.61 60.00 336.60
ROLL -OFF LINERS 2.00 35.00 70.00
TOTAL 606.60
INVOICE
INVOICE DUE NET 30 DAYS
LATE PA 3 MENTS WILL 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
s,
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 6/3/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/3/2009 29W448A $300.00
i.
�e
r�
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 Officer
VOUCHER 095772 WARRANT ALLOWED
00352914 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
i
i
29W448A 01- 736H -08 $300.00
i,
i
2gW3g3(� 0�.�361�.0$ 606.60
c.
Voucher Total $80
Cost distribution ledger classification if
claim paid under vehicle highway fund