218455 03/25/2013 a CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $1,257.50
CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 218455
CHECK DATE: 3/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-7554 450 . 00 OTHER EXPENSES
211 4237001 WO-7615 807 . 50 STORM SEWER MAINT SUP
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 3/13/2013 WO-7615
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield, IN 46074
USA
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/13/13 WO-7615 $807.50
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fluid Waste Service
IN SUM OF $
P. O. Box 264
Noblesville, IN 46061
$807.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
211 I WO-7615 I 42-370.01 I $807.50 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
TPiufsd r %w013
St��d£�Irrroi>asss ire r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
- - - - - - - -- --
Fluid Waste Services, Inc.
P. O. Box 264 Invoice
Noblesville, IN 46061 Date Invoice#
� 317 773-7996
3/4/2013 WO-7554
Bill To
CARMEL UTILITIES
9609 Hazel Dell Pkwy.
Indianapolis, IN 46280
P.O. No. Terms Project
Due on receipt JET/VAC SERVICES.
Monday 3-4-13 Description Qty Rate
Amount
Contact:Jeff Copper 716-5882
Site:The Lakes of Williamson Run
Crew: LG/LM
Unit:C-22
Vac out heavy debris&grease
to clean lift station as directed.
Water: 1 load Indy Meter-N/C
Disposal:Provided onsite
JET AND VAC WITH COMBINATION CLEANING TRUCK 2
225.00 450.00
TERMS NET 30
ADD 5%LATE FEE AFTER 45 DAYS
Thank You for Your Business.We accept Visa MC& Discover.III reference:Inv. 4On Remitt ance tal $450.00
yments/Credits $0.00
Balance Due $450.00
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 3/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/18/2013 WO-7554 $450.00
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
,•/v1/r3
Date Officer
VOUCHER # 135127 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-7554 01-7360-04 $450.00
Voucher Total $450.00
Cost distribution ledger classification if
claim paid under vehicle highway fund