166900 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350035 Page 1 of 1
ONE CIVIC SQUARE SPILL 911, INC
e PO BOX 784 CHECK AMOUNT: $817.77
CARMEL, INDIANA 46032 WESTFIELD IN 48074 -0784 CHECK NUMBER: 166900
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239011 34644 817.77 SPECIAL DEPT SUPPLIES
1 y
Invoice 34644
Invoice bate 11/20/08
www.Spill9ll.com Customer CAR116
Spill 911, Inc.
450 Enterprise Drive
PO Box 784
Westfield, IN 46074 USA
Telephone: 317-867-2911 1400-474-S911
Bill To: Ship To:
CARMEL FIRI= DEPARTMENT SPILL 911 INC.
ATTN: Gary Brandt ATTN: C# CAR11B /Gary 414 -9986
2 Civic Sq 450 Enterprise Dr
Carmel, IN 46032 -2584 Westfield, IN 46074
Customer Ship Via -D -B. Terms
CAR116 BESTWAY ORI GIN Net 30 pays
Purchase Order Number sales emon order Date our Order Number
69447 11/14!200$ 52507
Quantity Ordered Quantity ShIpped Item Number Unit of Measure Unit Price Extondad Price
wick Ordered Item Description A Q wount %I Tax
1 1 AR- 1084 -0001 EACH 247 -50 247.50
0 Sphag Sorb -6 cubic foot UN /DOT Drum N
4 4 AR -1082 -0001 EACH 25.03 103.72
0 Sphag Sorb- 2 Cubic foot Bag N
5 5 AR- 1085 -0001 EACH 3100 155.00
0 Sphag Sorb- 1 Cubic Foot Bucket N
5 5 AR- 1087 -0001 EACH 10.75 53.75
0 oil Dry Concentrate -2011) Pail N
20 20 AR -1080 -00011 EACH 6.81 136.20
0 Loose -Dri N
1 1 SHIPFREIGHT EACH 121.60 121.60
0 Freight Charges N
Nontaxable Subtotal 817.77
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 817.77
Customer Original (Reprinted) page 1
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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))
34644 Peat Sorb $817.77
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
Spill 911
450 Enterprise Drive IN SUM OF
P.O. Box 784
Westfield, IN 46074
$817.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 34644 42- 390.11 $817.77 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
c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund