HomeMy WebLinkAbout211283 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC
? CHECK AMOUNT: $787.50
CARMEL, INDIANA 46032 Po Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 211283
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W05780 787 . 50 OTHER EXPENSES
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Fluid Waste Services, Inc.
Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
6/27/2012 WO-5780
Bill To
CITY OF CARMEL W WTP
760 Third Avenue SW
Carmel, IN 46032
US
P.O. No. Terms Project
761 Net 30
Description Qty Rate Amount
WEDNESDAY 6/27/12
Si
CONTACT: LARRY FIBS 538-5821
SITE:CARMEL-RANGELINE RD
CREW:CG/SR
a
UNIT: C-18
JET/VAC 4 LINES AS DIRECTED.
WATER&DISPOSAL PROVIDED
JET AND VAC WITH COMBINATION CLEANING TRUCK 3.5 225.00 787.50
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TERMS NET 30
ADD 5%LATE FEE AFTER 45 DAYS
Thank You for Your Business.We accept Visa.MC&Discover.Please reference Inv.No.On =`
Remittance Total $787.50
Payments/Credits
$0.00 rY
Balance Due $787.50
,
VOUCHER # 125362 WARRANT # ALLOWED
352077 IN SUM OF $
FLUID WASTE SERVICES,INC.
PO BOX 264
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
W05780 01-1420-00 $787.50
Voucher Total $787.50
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,INC. Purchase Order No.
PO BOX 264 Terms
FISHERS, IN 46038 Due Date 7/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2012 W05780 $787.50
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
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Date Officer