176204 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363260 Page 1 of 1
ONE CIVIC SQUARE DESI ENVIRONMENTAL. SERVICES CHECK AMOUNT: $298.38
CARMEL, INDIANA 46032 510 SOUTH PARK DRIVE
�o• MOORESVILLE IN 46158 CHECK NUMBER: 176204
CHECK DATE: 8/19/2009
DEPARTMENT ACC PO N I NVOICE NU MBER AMOUNT DESC RIPTION
1120 4239011 09 -519 298.38 SPECIAL DEPT SUPPLIES
w
0 S LL RECOVERY OF INDIANA
est. 1997 ADIVISION OF DUKE'S EARTH SERVICES, INC.
Environmental Services ($00) 421 -SROI (7764)
(888) 322 -DESI (3374)
510 South Park Drive Mooresville, IN 46158
Office 3 17.83 1 1 971 Fax 3 1 7.83 1.4717 Invoice
www.desi- enviro.com
BILL TO DATE INVOICE
Carmel Fire Dept
2 Civic Square 8/4/2009 09 -519
Carmel. Indiana 46032
P.O. NO. TERMS_
DESCRIPTION QTYIDAY RATE AMOUNT
deliver 35 bags of absorbent to Carmel fire station 45
Absorbent, Oil Dry (25# Bag) Clay 35 7.75 271.25
Fuel Surcharge for Equipment and Over- the- road/Transportation 271.25 0.10 27.13
Vehicles
Thank you for your business. Please remit to:PO Box 756, Mooresville. IN 46158 Total
otal $298.38
UST /AST Management Drilling Probing Vacuum Truck Services /Roll Boxes Industrial Services Waste Transportation Brokering
24 -Hour HazMat Emergency Response
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))
09 -519 $298.38
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and E have audited same in accordance
with IC 5-11-10-1.6
20
Clerk- Treasurer
VOUCHER NO. WAR NO.
Desi ALLOWED 20
IN SUM OF
510 South Park Drive
Mooresville, IN 4$158
$298.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #r lTLE AMOUNT Board Members
1120 09 -519 42- 390.11 $298.38 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
AUG 17 2009
1
Fire Chie
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund