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167952 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 00351729 Page 1 of 1 ONE CIVIC SQUARE COMMERCIAL SEWER CLEANING CO., I�IC CARMEL, INDIANA 46032 5838 SOUTH HARDING STREET CHECK AMOUNT: $790.00 INDIANAPOLIS IN 46217 CHECK NUMBER: 167952 CHECK DATE: 1/21/2009 DEPARTKiENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 206 4237001 81452 790.00 STORM SEWER MAINT SUP COM_.MERCIAL SEWER I T� CLEANING CO., INC. 5838 S. Harding Street INDIANAPOLIS, IN 46217 81452 (317) 782 -0020 (FAX) 782 -0310 DATE 12/29/08 TO CARMEL STREET DEPARTMENT P.O.# ATE COMPLETE —Dec 19 200 ATTN: DAVE HUFFMAN 3400 W. 131 ST STREET RELEASE# WESTFIELD, IN 46074 VENDOR# TERMS: Net 30 Days L 12220 HANCO STREET QUANITIT a AMO UNT_ A DESCRIPT,IOM PRICE 4.00 CAMEL COMBINATION TRUCK, OPERATOR AND LABORER 18 .00 74 .00 0.00 STANDARD TIME 1.00 MINIMUM DISPOSAL SOUTHSIDE SOLIDIFICATION 5C.00 5 .00 JETTED 15 INCH STORM SEWER AND PUMPED LEAVES OUT OF CATCH BASIN. FLUSHED 300 FT. OF 15 INCH STORM SEWER. TERMS: 30 DAYS, 1.5% INTEREST WILL BE CHARGED TO PAST DUE ACCOUNTS. ACCOUNTS OVER 60 DAYS WILL BE SUBJECT TO COLLECTION FEES, COURT COSTS, AND OTHER FEES THAT MAY BE INCURRED. PAYMENT RECEIVE .00 WE APPRECIATE YOUR BUSINESS! TOTAL DUE 794.00 gfiat2k To a 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)) 12/29/08 81452 $790.00 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 20 Clerk- Treasurer VOUCHE NO. WARRANT NO. Commercial Sewer Cleaning Co., Inc ALLOWED 20 IN SUM OF 5833 S. Harding Street Indianapolis, IN 46217 $790.00 fT ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 206 81452 42- 370.01 $790.00 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 Sat rday, January 17, 2009 Street Commissioner Title -ner Cost distribution ledger classification if claim paid motor vehicle highway fund