213836 10/23/2012 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: $824.60
INDIANAPOLIS IN 46268
CHECK NUMBER: 213836
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32W81401 824 . 60 OTHER EXPENSES
INVOICE
_ 8500 Georgetown Road
Indianapolis,IN 46268
Phone: (317)871-4090
Fax: (317)871-4094
TOLL FREE 1-800-877-4955
INVOICE NO: 32W814-01
INVOICE DATE:10/8/2012
CLIENT:
PROJECT INFORMATION
PROJECTID:
MR.JOHN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
760 3RD AVENUE SOUTHWEST
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 9/27/2012 r
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOX) 10.41 $ 60.00 $ 624.60
TRANSPORTATION 1.00 $ 200.00 $ 200.00
TOTAL
INVOICE $ 824.60
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
ffl�M Ell
I e :
VOUCHER # 125967 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
m
32W81401 01-736H-08 $824.60
Voucher Total $824.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
i
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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 10/15/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/15/201: 32W81401 $824.60
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