207732 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352914 Page 1 of 1
0 ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES
CARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK AMOUNT: $538.40
INDIANAPOLIS IN 46268 CHECK NUMBER: 207732
flpry 0
CHECK DATE: 4/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32W25801 538.40 OTHER EXPENSES
INVOICE
+I 8500 Georgetown Road
Indianapolis, IN 46268
Phone: (317) 871 -4090
one P
Fax: (317) 871 -4094
TOLL FREE 1- 800 877.4955
INVOICE NO: 32W258 -01
INVOICE DATE: 3/22/2012
CLIENT:
PROJECT INFORMATION
PROJECTID:
MR. JOHN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
760 3RD AVENUE SOUTHWEST
CARMEL, IN 46032
I
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR: GREG SPEARS
WORK PERFORMED TRRU: 3/23/2012
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTI-TY PRICE /UNIT TOTAL
DISPOSAL (LANDFILL ROLL OFF BOX) 5.64 60.00 338.40
TRANSPORTATION 1.00 200.00 200.00
TOTAL
INVOICE 538.40
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, IN 46268 -1647
1 0
VOUCHER 117111 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
32W25801 01- 736H -08 $538.40
Voucher Total $538.40
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 4/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/5/2012 32W25801 $538.40
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