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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