168857 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $377.25
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 168857
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
551 5023990 29WO95A 377.25 OTHER EXPENSES
i
8500 Georgetown Road
Indianapolis, IN 46268
^n Phone: (317) 871 -4090
o 1LJ Fax: (317) 871 -4094
TOLL FREE 1- 800 877 -4955
Invoice No.: 29WO95A
Invoice Date: 1/31/2009
INVOICE
CLIENT: PROJECT INFORI\4ATION
CARIv1EL HHW PROJECT I.D.: 29WO95
760 3 1tD AVENUE SW STE 10 PROJECT DESCRIPTION: CITY OF CARMEL
CAR-MEL, IN 46032 JOB LOCATION: 901 N. RANGELINE RD.
CARMEL, IN
CONTRACT NO.: S07574
CONTACT: JOHN DUFFY PROJECT MANAGER: GREG SPEARS
ITEM NO. DESCRIPTION UNIT QUANTITY PRICE /UNIT TOTAL
WORK PERFORMED ON 12/12/08
WASTE MANAGEMENT SERVICES
FLUORESCENT LAMPS (1 TO 4FT.) 650 0.50 325.00
HID LAMPS 5 2.50 12.50
COMPACT LAMPS 50 0.75 37.50
COMPACT CIRCULAR 3 0.75 2.25
I
TOTAL $377.25
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
e M! ,l`�' F. hY -e,:,: s.0 LNa+/U /�LIW +..1+W+Y�. 0 n ,y 9'•
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 2/10/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount 3
2/10/2009 29WO95A $377.25
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
.z 42. /05
Date Officer
VOUCHER 095053 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
29WO95A 01- 736H -08 $377.25
7
Voucher Total $377.25
Cost dist�ution ledger classification if
claim paid under vehicle highway fund