HomeMy WebLinkAbout203439 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 PO BOX 264 CHECK AMOUNT: $3,520.00
NOBLESVILLE IN 46061 CHECK NUMBER: 203439
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2,050.00 OTHER EXPENSES
651 5023990 W04266 1,470.00 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
317 773 -7996 10/31/2011 WO -4225
Bill To
City of Carmel Water Utilities
3450 W. 131 st St.
Westfield, IN 46074
US
P.O. No. Terms Project
Due on receipt CARMEL WATER
Description Qty Rate Amount
FRIDAY 10/28/11
MONDAY 10/31/11
CONTACT: DAN JENKINS
SITE: CARMEL WATER PLANT #4
106TH GRAY RD
CREW: JG /AH/GIO
UNIT: V17
VAC SALT TANK TO REMOVE
MATERIAL... TOOK 3 LOADS
TO BEAVER UNDER CARMEL
ACCOUNT ON FRIDAY.
MONDAY 10/31 CONTINUED
TO VAC USING JACK HAMMER
TO BREAK UP SALT MATERIAL
DISPOSAL AT BEAVER UNDER
CARMEL ACCOUNT
HEAVY DUTY P/D VACUUM SERVICES 8 225.00 1,800.00
MISCELLANEOUS TOOLS AND EQUIPMENT -JACK 1 250.00 250.00
HAMMER RENTAL
TERMS NET 30
ADD S% LATE FEE AFTER 45 DAYS
Thank You for Your Business.We accept Visa,MC Discover.Please reference Inv. No. On
Remittance Total
$2,050.00
Payments /Credits $0.00
Balance Due $2,050.00
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
avor Of Q AYZI7
PC LA np
F���ecs T Fs
Total Amount of Voucher
Deductions
�a
A 0
Amount of Warrant (�rJ
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Mai nte nance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325
Fluid Waste Services, Inc.
0 Inv ®ice
P. O. Box 264
Noblesville, IN 46061 V Date Invoice
317 773 -7996 11/2/2011 WO -4266
Bill To
CITY OF CARMEL SEWER COLLECTIONS
760 3rd Ave SW, Suite 110
Carmel, IN 46032
US
P.O. No. Terms Project
VERBAL PAUL Net 30 DEER RIDGE DR L...
Description Qty Rate Amount
TUESDAY 11 /l /11
CONTACT: PAUL
SITE: DEER RIDGE DRIVE
SOUTH OF 146TH GRAY RD
CREW: KH /SS
UNIT: V -19
VAC LIFT STATION TO
REDUCE PRESSURE DURING
FORCE MAIN BREAK REPAIR
DISPOSAL ON SITE
OVERTIME EMERGENCY
OVERTIME RATES FOR JET/VAC UNIT 6 245.00 1,470.00
TERMS NET 30
ADD S% LATE FEE AFTER 45 DAYS
Thank You for Your Business.We accept Visa MC Discover.Please reference Inv. No. On
Total $1,470.00
Remittance
Payments /Credits $0.00
=Balance Due $1,470.00
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
352077
FLUID WASTE SERVICES,INC. Purchase Order No.
PO BOX 264 Terms
FISHERS, IN 46038 Due Date 11/4/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/4/2011 W04266 $1,470.00
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 &icer
VOUCHER 116184 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
W04266 01- 7360 -02 $1,470.00
Voucher Total $1,470.00
Cost distribution ledger classification if
claim paid under vehicle highway fund