172715 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $2,120.50
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
`o INDIANAPOLIS IN 46268 CHECK NUMBER: 172715
CHECK DATE: 5/27/2009
DEPART ACCOUNT PO NUMB INVOICE NUMBE AMOUN D
1205 4350600 29W343A 2,120.50 CLEANING SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317) 871 -4090
Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
Invoice No.: 29W343A
Invoice Date: 4/23/09
INVOICE
CLIENT: PROJECT INFORMATION
CARMEL HHW PROJECT I.D.: 29W343
760 3 RD AVENUE SW STE 10 PROJECT DESCRIPTION: CITY OF CARMEL
CARMEL, IN 46032 JOB LOCATION:
CARMEL, IN
CONTRACT NO.: S07574
CONTACT: JEFF BARNES PROJECT MANAGE SPEARS
ITEM NO. DESCRIPTION UNIT QUANTITY PRICE/ UNIT TOTAL
WORK PERFORMED ON 3/23/09
WASTE MANAGEMENT SERVICES
TRANSPORTATION CHARGE 1 100.00 100.00
CRT E -SCRAP 5,253# 0.26 1,365.78
NONCRT E -SCRAP 2,976# 0.22 654.72
TOTAL $2,120.50
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
6Z t 3.; n ON
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
American Industrial Services Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
1 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.
20
Clerk- Treasurer
VOUCHER N 2 1 &ARRANT NO.
w erlcan Industrial Services ALLOWED 20
8 Georgetown Road IN SUM OF
Indianapoi;s IN 6
$2,120.50
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify hat the attached invoice(s), or
DEPT. y y
bill(s) is (are) true and correct and that the
343A 506 $2,120.50 materials or services itemized thereon for
which charge is made were ordered and
received except
20
gnatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund