178874 10/28/2009 ^e�, CITY OF CARMEL, INDIANA VENDOR: 00350035 Page 1 of 1
i t ONE CIVIC SQUARE SPILL 911, INC CHECK AMOUNT: $1,412.73
CARMEL, INDIANA 46032 PO BOX 784
WESTFIELD IN 46074 -0784 CHECK NUMBER: 178874
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
102 4467004 12691 36954 1,412.73
r
Invoice 36954
Invoice Date 10/12/09
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 SPILL 911 INC
ATTN: Gary Brandt ATTN: C# CAR 116 /Gary 414 -9986
2 Civic Sq 450 Enterprise Dr
Carmel, IN 46032 -2584 Westfield, IN 46074
Customer Ship Via F.O.B. Terms
CAR 116 BESTWAY ORIGIN Net 30 Days_
Purchase Order Number Salesperson Order Date Our Order Number
VERBAL GARY BRANDT 09/24/09 54634
Quantity rdered Quantity Shipped Item Number Unit of Measure Unit Price
y Back Ordered Item Description Discount Tax Extended Price
16 16 UT- 8022 -0001 EACH 79.00 1264.00
0 20- Gaflon PopUp Pool N
1 1 SHIPCC EACH 148.73 148.73
0 Common Carrier Shipping N
PLEAS' i,A.IL. ,�i__rr11TTANCESTO:
1 Inc.
F�? L:;1x 784
Westfield, IN 46074 -0784
Net due on 11/11/09
Nontaxable Subtotal 1412.73
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 1412.73
Customer Original Page 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Spill 911
450 Enterprise Drive IN SUM OF
P.O. Box 784
Westfield, IN 46074
$1,412.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12691 36954 102 670.04 $1,412.73 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
ACT 2 s 7009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
36954 $1,412.73
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
20
Clerk- Treasurer