219721 05/07/2013 a CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
0 ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $3,318.75
CARMEL, INDIANA 46032 PO Box 264
NOBLESVILLE IN 46061 CHECK NUMBER: 219721
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-7828 3 , 318 . 75 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 4/17/2013 WO-7828
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel,IN 46032
US
P.O. No. Terms Project
Net 30 Lift Stations
Description Qty Rate Amount
Tuesday 4-16-13&Wednesday 4-17-13
Contact: Eric 523-6280
Site:Lift Stations(12)
Crew:JC/LG
Unit: C-23
Cleaned lift stations as directed.
4/16:
1.Woods Creek
2.Quali Run
3.Plum Creek
4.96th Street
5. Legacy
6.Smokey Knoll
4/17:
7.City Center
8.Creekside 11:1�1r1J_Y O
9.Springmill Crossing LATE N�'
10.Summer Trace D 5"
11.Hunters Creek % 45 DAYS
12.Kingswood
Water:Carmel Meter-provided
Disposal:Carmel WWTP
JET AND VAC WITH COMBINATION CLEANING TRUCK 14.75 225.00 3,318.75
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On
Remittance Total $3,318.75
Payments/Credits $0.00
Balance Due $3,318.75
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
Noblesville, IN 46061 Due Date 4/26/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/26/2013 WO-7828 $3,318.75
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 # 135397 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-7828 01-7360-04 $3,318.75
Voucher Total $3,318.75
Cost distribution ledger classification if
claim paid under vehicle highway fund