HomeMy WebLinkAbout223917 09/10/2013i
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: $462.50
'ti, aHCOg NOBLESVILLEIN 46061 CHECK NUMBER: 223917
CHECK DATE: 9/1012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 WO-8844 462 . 50 STORM SEWER MAINT SUP
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date Invoice#
317 773-7996 8/21/2013 WO-8844
Bill To
City of Carmel Street Department
3400 West 131st Street
Westfield,IN 46074
USA
P.O. No. Terms Project
Due on receipt 146TH ST&HAZE...
Description Qty Rate Amount
WEDNESDAY 8-21-13
CONTACT:ERIC RUSSELL 317-752-2706
SITE: 146TH ST&HAZEL DELL PKWY
CREW:WS/JM
UNIT: T-21
PERFORMED TELEVISED VIDEO INSPECTION OF
551.3'OF 36"STORM SEWER AS DIRECTED.
TELEVISE AS DIRECTED-HOURLY RATE 2.5 185.00 462.50
ADD TERMS NET 30
59b ATE FEE AFTER 45 DA YS
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On
Remittance Total $462.50
Payments/Credits $0.00
Balance Due $462.50
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))
08/21/13 WO-8844 $462.50
1 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
$462.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
211 I WO-8844 I 42-370.011 $462.50 I 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
hursd Se ber 05, 2013
UVWtIlY k"r
Sit ee.TGCBtRs� O er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund