HomeMy WebLinkAbout204555 12/13/2011 a 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: $370.00
NOBLESVILLE IN 46061 CHECK NUMBER: 204555
4�oH -o
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 WO -4505 370.00 STORM SEWER MAINT SUP
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
317 773 -7996
12/3/2011 WO -4505
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield, IN 46074
P.O. No. Terms Project
VERBAL JIM Due on receipt Jet/Vac Services
Description Qty Rate Amount
FRIDAY 12/2/11
CONTACT: JIM HOBBS
SITE: GRAY ROAD BETWEEN 126TH 131 ST STREETS
CREW: EM
UNIT: T09
TELEVISE 18 -24" STORM
LINE TO INSPECT
TELEVISE AS DIRECTED- HOURLY RATE 2 185.00 370.00
TERMS NET 30
ADD 5% LATE FEE AFTER 45 DAYS
Thank Y90or Your Business. We accept, Visa MC Discover.Please reference Inv. No. On
Remittance Total $370.00
Payments /Credits $0.00
Balance Due $370.00
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/03/11 WO -4505 $370.00
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 NO. WARRANT N
ALLOWED 20
Fluid Waste Service
IN SUM OF
P. O. Box 264
Noblesville, IN 46061
$370.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MemberE
a�VAbk WO -4505 42- 370.01 $370.00 1 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
fridayl December 09, 2011
Street Comrssioner
Street Commiss finer
Cost distribution ledger classification if
claim paid motor vehicle highway fund