HomeMy WebLinkAbout209535 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,800.00
CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 209535
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1,800.00 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice
317 773 -7996 5/25/2012 WO -5538
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel, IN 46032
US
P.O. No. Terms Project
Net 30 Lift Stations
Description Qty Rate Amount
THURSDAY 5/24/12
CONTACT: JOE FAUCETT 716 -3905
SITE: CARMEL LIFT STATION
CREW: JC /LM
UNIT: C -22
CLEANED 6 LIFT STATIONS AS DIRECTED
2 LOADS CARMEL WATER
2 DISPOSALS AT CARMEL WWTP
JET AND VAC WITH COMBINATION CLEANING TRUCK 8 225.00 1,800.00
TERMS NET 30
ADD 5% LATE FEE AFTER 4 DAB'S
Thank You for Your Business.We accept Visa MC Discover.Please reference Inv. No. On
Remittance Total
$1,800.00
Payments /Credits $0.00
Balance Due $1.800.00
Prescribed State Board Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 01 -5 (Rev. 1995)
To
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
1 19
Signature Title
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.
19 ty
7pfficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ANOT
CARMEL, INDIANA
3
Total Amount of Voucher
Deductions
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800 3828702 325