HomeMy WebLinkAbout204395 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350035 Page 1 of 1
ONE CIVIC SQUARE SPILL 911, INC
i
CARMEL, INDIANA 46032 Po eox 784 CHECK AMOUNT: $82.78
WESTFIELD IN 46074 -0784 CHECK NUMBER: 204395
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 42658 82.78 OTHER EXPENSES
I Invoice 42658
Invoice Date 11/21/11
www.Spill911.com Customer CAR062
Spill 911, Inc.
450 Enterprise Drive
PO Box 784
Westfield, IN 46074 USA
Telephone: 317 -867 -2911 1- 800 -474 -5911
Bill To: Ship To:
CITY OF CARMEL CARMEL WASTEWATER UTILITIES
ATTN: Accounts Payable ATTN Jeff Cooper
760 3rd Ave SW Ste 110 9609 Hazel Dell Pkwy
Carmel, IN 46032 -7612 Indianapolis, IN 46280 -2935
Customer Ship Via F.O.B. Terms
CAR062_ _BES.TWAY ORIGIN_ Net 30_Days
Purchase Order Number Salesperson Order Date Our Order Number
VERBAL JEFF 11/16/11 60193
Quantity Ordered Quantity Shipped Item Number Unit of Measure Unit Price Extended Price
Back Ordered Item Description Discount /o Tax
1 1 UT- 0651 -0001 EACH 75.00 75.00
0 Burp -Free Funnel whinged Lid N
1 1 SHIPUPS EACH 7.78 7.78
0 Shipping UPS Ground N
0 /0 Al
rI /z 11
PLEASE MAil_ REMITTANCES TO:
Spill 1 Inc.
PO Box 784
Westfield, IN 46074 -0784
Net due on 12/21/11
Nontaxable Subtotal 82.78
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 82.78
Customer Original Page 1
VOUCHER 116328 WARRANT ALLOWED
350035 IN SUM OF
SPILL 911, INC
P.O. Box 784
Westfield, IN 46074
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
42658 01- 7242 -06 $82.78
Voucher Total $82.78
Cost distribution ledger classification if
claim paid under vehicle highway fund
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
350035
SPILL 911, INC Purchase Order No.
P.O. Box 784 Terms
Westfield, IN 46074 Due Date 11/29/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/20 1 42658 $82.78
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