212199 08/28/2012 a *f CITY CIF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
`I ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $878.75
CARMEL, INDIANA 46032 PO BOX 264
NOBLESVILLE IN 46061 CHECK NUMBER: 212199
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 W06056 323 . 75 OTHER EXPENSES
651 5023990 W06140 555 . 00 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
8/13/2012 WO-6140
Bill To
CITY OE CARMEL SEWER COLLECTIONS
760 3rd Ave SW, Suite 110
Carmel, IN 46032
USA
P.O. No. Terms Project
Net 30 1043 RIDGE COURT
Description Qty Rate Amount
MONDAY 8/13/12
CONTACT:AARON 607-1870
SITE: 1043 RIDGE COURT,CARMEL
CREW: EM/GM
UNIT: T-21
TELEVISED 8" SEWER LINE TO
LOCATE ROOTS AS DIRECTED.
TELEVISE AS DIRECTED-HOURLY RATE 3 185.00 555.00
TERMS NET 30
ADD i%LATE FEE AFTER IS DAYS
"Thank You for Your 43usiness.We accept Visa,MC&Discover.Please reference Inv.No. On
Remittance Total $555.00
Payments/Credits $0.00
Balance Due $555.00
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 8/2/2012 WO-6056
Bill To
CITY OF CARMEL W WTP
760 Third Avenue SW
Carmel,IN 46032
US
P.O. No. Terms Project
S13188 Net 30
Description Qty Rate Amount
THURSDAY 8/2/12
CONTACT:JOE FAUCETT
SITE:CARMEL WWTP
CREW:CG/SR
UNIT: T-09
TELEVISE SANITARY SEWER LINE TO CHECK FOR
PROBLEM AS DIRECTED. FOUND SEPARATION AT
JOINT AND NOTED A FEW BROKEN AREAS IN PIPE.
TELEVISE AS DIRECTED-HOURLY RATE 1.75 185.00 323.75
TERMS NET 30
ADD 5% LATE FEE AFTER 45 LAYS
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No. On
Remittance Total $323.75
Payments/Credits $0.00
Balance Due $323.75
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 8/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2012 WO-6140 $555.00
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
VOUCHER # 125551 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
'?36 i) Ov
i-)q� WO-6140 01-Y-5.620& $555.00
7360 6z-
,�5-�,
Voucher Totala-9—B
Cost distribution ledger classification if
claim paid under vehicle highway fund