216402 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
s ONE CIVIC SQUARE FLUID WASTE SERVICES INC
` CARMEL, INDIANA 46032 PO Box 264 CHECK AMOUNT: $7,492.50
NOBLESVILLE IN 46061
CHECK NUMBER: 216402
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-7134 7, 492 . 50 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
1/2/2013 WO-7134
Bill To
CARMEL UTILITIES
9609 Hazel Dell Pkwy.
Indianapolis,IN 46280
P.O. No. Terms Project
Due on receipt Oak Ridge Rd.&Ad...
Description Qty Rate Amount
Date: 12-20-12 to 12/3 1/12
Aaron Hoover-460-6690
Main St&Lexington Blvd
Adios Pass&Oak Ridge Rd.
Sewer cleaning for TV inspection by RedZone
12/20/12
Crew-JD/GElLG
Truck-C23&SV w/Easement Reel
Water-Carmel 4 loads NC
Disposal-Carmel W WTP NA
12/21/12
Crew-JD/EP C23
Water-Carmel 5 loads NC
Disposal-NA
12/28/12
Crew-CG/EP c20
JD-SV w/Easement Reel
Water-Carmel 5 loads-NC 'I' MC 1►TLT�O
Disposal-Carmel W WTP-NC A�D �T A,��J IYJv�R 4 DAYS
12/31/12 till /U Lt
Crew-JD/LM C20
CG-SV w/Easement Reel
Water-Carmel 4 loads-NC
Disposal-NA .
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On
Remittance Total
Payments/Credits
Balance Due
Page 1
Fluid Waste Services, Inc. invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
1/2/2013 WO-7134
Bill To
CARMEL UTILITIES
9609 Flazel Dell Pkwy.
Indianapolis, IN 46280
P.O. No. Terms Project
Due on receipt Oak Ridge Rd.&Ad...
Description Qty Rate Amount
JET AND VAC WITH COMBINATION CLEANING"TRUCK 13 225.00 2,925.00
JETNAC 3 MAN CREW 13.75 275.00 3,781.25
EASEMENT MACFIINE PER HOUR 11.75 35.00 411.25
SUPPOR"f VEHICLE-MATERIAL& PERSONNEL 3 125.00 375.00
TRANSPORT
TERMS NET 30
ADD A UTE FEE AFTER 5 DAYS
Thank You for Your Business.We accept Visa MC&Discover.Please reference Inv.No.On
Remittance Total $7,492.50
Payments/Credits $0.00
Balance Due $7,492.50
Page 2
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
Noblesville, IN 46061 Due Date 12/30/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201: WO-7134 $7,492.50
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 126442 WARRANT # ALLOWED
352077 IN SUM OF $
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
WO-7134 01-7360-02 $7,492.50
Voucher Total $7,492.50
Cost distribution ledger classification if
claim paid under vehicle highway fun
j .