222388 07/30/2013 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: $10,498.15
NOBLESVILLE IN 46061 CHECK NUMBER: 222388
CHECK DATE: 7130/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 26340 WO-8468 10, 498 . 15 PIPE REPAIRS
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 7/19/2013 WO-8468
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield,IN 46074
US
P.O. No. Terms Project
26340 Due on receipt 12424 Windsor Dr.
Description Qty Rate Amount
Tuesday 7-9-13&Wednesday 7-19-13
Contact:Jim Hobbs 317-417-5216
Site: 12424 Windsor Drive-Carmel,IN
7/9
Crew:CG/BU/EM/MM
Units:C-20&T-08
7/19
Crew:JG/CR/CG/AH/MMBU
Units:C-24,T-09 w/F-18,LV,
Reefer Unit,SV w/Air Compressor
Performed CIPP pipeline rehab services for
approx 133.8 ft.of 12 inch CMP storm pipe.
Water: 1 load Indy Meter i
COMPLETE PROJECT AS PER QUOTE 1 10,498.15 10,498.15
Job was quoted at 130'for 510200.00
Actual footage was 133.8'resulting in an increase of$298.15
TERMS NET 3
AD 0 5%LATE FEE AF R 45 DAYS
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On
Remittance Total $10,498.15
Payments/Credits $0.00
Balance Due $10,498.15
v:e5cr,tt0 oy 51T'9 Boars J�>aoums Gib For.'by 2^,:.9e, i93•
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered,by
whom, rates per day,number of hours,rate per hour, number of units,price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description I Amount
Date Number (or note attached invoice(s)or bill(s))
lq i31UJ0�all1��
i
! i
Total
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6.
20
Clark-Treasurer
VOUCHER NO. WARRANT NO,
Owa W t S but) ALLOWED 20_
P.a. E&C �t�y IN SUM OF$
s__ 1nty�81�
ON ACCOUNT OF APPROPRIATION FOR
Board Member
DEPT. INVOICE NO ACCTR/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
WQ 4 43IO W 10t0.6 bill(s) is(are) true and correct and that the
WD- 46 3 COI c]1 Ip.�1J materials or services itemized thereon for
which charge is made were ordered and
received except
Aai re
Cost distribution ledger classification if
clai m paid motor vehicle highway fund
Street Commissioner