169938 03/18/2009 F CITY OF CARMEL, INDIANA VENDOR: 362626 Page 1 of 1
ONE CIVIC SQUARE HOOSIER EQUIPMENT SERVICE INC CHECK AMOUNT: $8,484.00
CARMEL, INDIANA 46032 8014 WEST THOMPSON ROAD
INDIANAPOLIS IN 46241 CHECK NUMBER: 169938
CHECK DATE: 3118/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 8465 8,484.00 1050.75
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1loosier Equipment Service, Inc. IYVOICrE
8014 W. Thompson Road
Indianapolis, IN 46241 Date Invoice
2/12/2009 8465
Sold To: Sent To:
Carmel Utilities Wastewater UST Removal
Attn: Joe Faucett WWTP
760 Third Avenue, SW Hazel Dell Pkwy
Suite 110 Carmel, IN
Carmel, IN 46032
Job# PO
109002/09017 511492
Description Amount
Charges per Proposal No. 09017 dated January 16, 2009. 8,484.00
1. Mobilize to the site.
2. Enter and clean tank.
3. Remove and dispose of tank.
4. Provide closure report as required by IDEM.
Equal Opportunity Employer Please pay from this invoice. 1 -1/2
percent per month finance charge will be assessed on all accounts Invoice �Otal $8,484.00
past 30 days.
Phone Fax Web Site
317 856 -2751 317 856 -2756 hoosierequipment.com
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
T999
HOOSIER EQUIPMENT SERVICE INC Purchase Order No.
8014 WEST THOMPSON ROAD Terms
INDIANAPOLIS, IN 46241 Due Date 3/9/2009
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Q,
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2009 8465 $8,484.00
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
Date ffi
VOUCHER 095198 WARRANT ALLOWED
.1999 IN SUM OF
HOOSIER EQUIPMENT SERVICE INC
8014 WEST THOMPSON ROAD
INDIANAPOLIS, IN 46241
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO INV ACCT AMOUNT Audit Trail Code
8465 07- 1050 -75 $8,484.00
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Voucher Total $8,484.00
Cost distribution ledger classification if
claim paid under vehicle highway fund