HomeMy WebLinkAbout204791 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,585.00
CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 204791
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 WO -4554 1,585.00 STORM SEWER MAINT SUP
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
317 773 -7996 12/14/2011 WO -4554
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield, IN 46074
P.O. No. Terms Project
Due on receipt Jet/Vac Services
Description Qty Rate Amount
WEDNESDAY 12114/11
CONTACT: -DAVID HUFFM.AN..
SITE :,DRY BED DETENTION.POND
BETWEIN-1-261 H MAIN.ON GRAY.. ROAD.._
CREW: JG /WS /GIO /EM /KM
UNITS: C20 T06 W /SUPPOR•1' VEHICLE FOR 3 MAN CREW
ROOT CUT ONE 15" LINE
AND RUN DOWN 18" LINE WITH
15" BLADES 150"1'0 CLEAR
TELEVISED BOTH LINES
3 LOADS CARMEL WATER
PROVIDED
JET AND VAC WITH COM13INATION CLEANING TRUCK (3 4.25 275.00 1,168.75
MAN CRE W)
TELEVISE AS DIRECTED- HOURLY RATE 2.25 185.00 41&25
TERMS NET 30
ADD 5% LATE FEE AFTER 45 DAYS
fhanlc You fog Your.Business.We "accept Vim,MC Discover. Please reference Inv. No. On
Rea ittance Total $1,585.00
Payments /Credits $0.00
balance Due $1,585.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fluid Waste Service
IN SUM OF
P. O. Box 264
Noblesville, IN 46061
$1,585.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
-286- WO -4554 42- 370.01 $1,585.00 1 hereby certify that the attached invoice(s), or
V 6 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
�ThursdWDeceriber 15, 2011
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/14111 WO -4554 $1,585.00
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