HomeMy WebLinkAbout204976 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00350035 Page 1 of 1
ONE CIVIC SQUARE SPILL 911, INC
CHECK AMOUNT: $2,444.43
CARMEL, INDIANA 46032 PO BOX 784
WESTFIELD IN 46074 -0784 CHECK NUMBER: 204976
CHECK DATE: 12120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467004 42738 2,444.43 HAZARDOUS MATERIALS
Invoice 42738
Invoice Date 12/08111
www.Spill9ll.com Customer CAR116
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:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
ATTN: Gary Brandt ATTN: Gary Brandt
2 Civic Sq 10701 N College Ave
Carmel, IN 46032 -2584 Indianapolis, IN 46280 -1000
Customer I Ship Via F.O.B. Terms
CAR116 I BESTWAY ORIGIN Net 30 Days
Purchase Order Number Salesperson Order Date Our Order Number
VERBAL GARY BRANDT 11/16/11 60190
Quantity Ordered Quantity Shipped Item Number Unit of Measure Unit Price Extended Price
Back Ordered Item Description I Discount %I Tax
1 1 MO- 0059-0001 EACH 26.42 26.42
0 MORPLUG DRUM WRENCH N
10 10 UT- 8010 -0001 EACH 69.00 690.00
0 20- Gallon PopUp Pool Plus N
10 10 AR- 1087 -0001 EACH 17.50 175.00
0 Oil Dry Concentrate -201b Pail N
1 1 AR- 10840001 EACH 309.00 309.00
0 Sphag Sorb -6 cubic foot UN /DOT Drum N
1 1 SA- 5225 -0001 EACH 149.00 149.00
0 Meresorb Mercury Spill Kit N
2 2 SA- 5226 -0001 EACH 27.00 54.00
0 Economy Mercury Spill Kit N
20 20 AR- 1082 -0001 EACH 31.99 639.80
0 Sphag Sorb- 2 Cubic foot Bag N
2 2 WC- 2728 -0001 EACH 48.00 96.00
0 Deluxe Non Sparking Drum Wrench N
PLEASE MAIL REMITTANCES TO:
Spill 911 Inc.
PO Box 784
Westfield, IN 46074 -0784
Net due on 01/07/12
(Continued)
Customer Original
Page 1
9 1 I Invoice 42738
dft Invoice Date 12/08/11
www.Spill9ll.com Customer CAR116
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:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
ATTN: Gary Brandt ATTN: Gary Brandt
2 Civic Sq 10701 N College Ave
Carmel, IN 46032 -2584 Indianapolis, IN 46280 -1000
Customer Ship Via F.O.B. Terms
CAR116 BESTWAY ORIGIN Net 30 Days
Purchase Order Number Salesperson Order Date Our Order Number
VERBAL GARY BRANDT 11/16/11 60190
Quantity Ordered Quantity Shipped Item Number Unit of Measure Unit Price Extended Price
Back Ordered Item Description Discount %I Tax
1 1 SHIPFREIGHT EACH 305.21 305.21
0 Freight Charges N
Net due on 01/07/12
Nontaxable Subtotal 2444.43
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 2444.43
Customer Original
Page 2
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))
42738 $2,444.43
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
$2,444.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 42738 1 102 670.04 I $2,444.43 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
DEC 19 2 011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund