206121 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $12,253.43
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 206121
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32WO1701 12,253.93 OTHER EXPENSES
INVOICE
8500 Georgetown Road
Ago- Indianapolis, IN 46268
Phone: 13171871 -4090
Fax: {3171871 -4094
TOLL FREE 1.800- 877.4955
INVOICE NO: 32WO17 -01
INVOICE DATE: 2/6/2012
CLIENT:
PROJECT INFORMATION
MR. JOAN DUFFY PROJECT ID:
CITY OF CARMEL UTILITIES DESCRIPTION: DISPOSAL HHN4'
760 3RD AVENUE SOUTIIIVEST LOCATION: CITY OF CARMEL
CARMEL, IN 46032
CONTRACT NO 507574
CONTACT: BILL KELLAM PROJECT MGR: GREG SPEARS
WORT: PERFORMED THRU: 1/5/2012
WASTE SERVICES
DESCRIPTION UNIT QUANTITY PRICE /UNIT TOTAL
HAZARDOUS MATERIALS TRANSPORTATION 1.00 200.00 200.00
FLAMMABLE LIQUID /GASOLINE (55GAL) 0.00 85.00
FLAMMABLE AEROSOLS (CUBIC BOX) 1.00 500.00 500.00
TOXICS (30GAL) 10.00 400.00 4,000.00
FLAMMABLE PAINT (DRUM) 4.00 250.00 1,000.00
FLAMMABLE PAINT (BOX, METAL) 5341.00 0.78 4,165.98
CORROSIVES (30 GAL) 1.00 220.00 220.00
CLEANERS (NONHAZ -DRUM) 0.00 130.00
CLEANERS (NONHAZ -CUBIC BOX) 1.00 375.00 375.00
PCI ENERGY SURCHARGE (5 10260.98 0.05 513.05
LAMPS (4 FOOT) 559.00 0.50 279.50
LAMPS (5 FOOT 30.00 26.00 780.00
COMPACT /U SHAPED LAMPS 232.00 0.95 220.40
HID LAMPS /HALOGEN 0.00 2.50
TOTAL
INVOICE 12,253.93
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5% PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES, 8500 GEORGETOWN RD, INDIANAPOLIS, EN 46268 -1647
ry 1 0 e
VOUCHER 116784 WARRANT ALLOWED
00352914 IN SUM OF
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
32WO1701 01- 736H -08 $12,253.93
Voucher Total $12,253.93
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 2/8/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/8/2012 32WO1701 $12,253.93
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 Officer