206673 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CHECK AMOUNT: $2,272.50
CARMEL, INDIANA 46032 Po Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 206673
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4849 2,272.50 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
317 773 -7996
2/9/2012 WO -4$49
Bill To
Cit} of Carmel Water Utilities
3450W. 13 l st St
Westfield. IN 46074
P.O. No. Terms Project
PLANT #3 BACK... Due on receipt PLANT #3 FILTERS
Description Qty Rate Amount
WEDNESDAY 218(12
CONTACT: DAN JENKINS
:SITE: PLANT #3 BACKWASH"TANKS 1261 H S'I:REF,'T
CREW: JD /AI-ULM
UNIT: V12 SUPPORT VEHICLE.
VAC SLUDGE AND WATER
FROM BACKWASH "TANK
UNDERGROUND USING 3 MAN CREW AND
150' OF 6" VAC TUBING
3 LOADS DISPOSAL AT
NOBLESVILLE LANDFILL
UNDER FLUID WASTE ACCT
T I C K E" I'# 66786.667 88.66789
HEAVY DUTY P/D VACUUM SERVICES 3 -MAN CREW 6.5 275.00 1.787.50
SUPPORT' VEHICLE MATERIAL PERSONNEL 1 125.00 125.00
TRANSPORT
MATERIAL PROVIDED AS REQUIRED-- VAC PIPE 1 225.00 225.00
Landfill Disposal Fees 3 45.00 135.00
TERMS NET 30
ADD MDATE FEE AFTER 45 DAYS
Thank You. for, Your 'Business. We, accept Visa MC Discover. Please reference Inv. No. On
Remittance Total $2,272.50
Payments /Credits $0.00
Balance Due $2,272.50
VOUCHER 113807 WARRANT ALLOWED
352077 IN SUM OF
FLUID WASTE SERVICES
P. O. BOX 264
FISHERS, IN 46038 WATER
OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
4849 01- 6360 -03 $2,272.50
r
Voucher Total $2,272.50
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
352077
FLUID WASTE SERVICES Purchase Order No.
P. O. BOX 264 Terms
FISHERS, IN 46038 Due Date 2/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/20/2012 4849 $2,272.50
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 cer