218038 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
` ONE CIVIC SQUARE FLUID WASTE SERVICES INC
CARMEL, INDIANA 46032 PO Box 264 CHECK AMOUNT: $2,868.75
NOBLESVILLE IN 46061 CHECK NUMBER: 218038
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6857 2, 868 . 75 OTHER EXPENSES
Fluid Waste Services, Inc.
Invoice
P. O. Boa 264
Noblesville, IN 46061 Date Invoice#
317 773-7996
2/27/2013 WO-6857
Bill To
Citv of Carmel Water Utilities
3450 W. 131 st St
Westfield, IN 46074
P.O. No. Terms Project I
Due on receipt SALT"TA
p NKS
Description Qty Rate
Amount
Tuesday 2-26-13 and Wednesday 2-27-13
Contact Dan Jenkins 716-3919
Site: Salt Tank-Plant 43
Crew:JG/LM/CG
Units:C-22. V-12
Tuesday-
Vac out two Toads of water and setup pump to empty
pit. Started to vac salt pits-noted 4"brine/gravel in
west tank and 2/3 brine/gravel in east tank.
Wednesday-
Returned to complete vac of'salt&gravel from tank
as directed. Washed down using hose onsite prior to
demob.
Water: Provided onsite(garden hose)
Disposal: Water dumped onsite(2/26),3 loads total
at Beaver under customer's account(2-2/26. 1-2/27)
HEAVY DUTY P/D VACUUM SERVICESO 12.75 225.00 1868.75
TERMS NET 30
AD 5%LATE FEE 45 DAYS
Thank You for Your Business.We accept Visa,MC& Discover.Please reference Inv.No. On
Remittance Tota l
$2.868.75
Payments/Credits $0.00
Balance Due $2.868.75
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 Purchase Order No.
P. O. BOX 264 Terms
FISHERS, IN 46038 Due Date 3/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2013 6857 $2,868.75
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 # 131043 WARRANT # ALLOWED
352077 IN SUM OF $
FLUID WASTE SERVICES
P. O. BOX 264
FISHERS, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6857 01-6360-03 $2,868.75
Voucher Total $2,868.75
Cost distribution ledger classification if
claim paid under vehicle highway fund