208271 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366189 Page 1 of 1
ONE CIVIC SQUARE EXCAL VISUAL
�+o CARMEL, INDIANA 46032 5721 ARAPAHOE AVE
CHECK AMOUNT: $608.75
'Foe STE A2 CHECK NUMBER: 208271
BOULDER CO 80303 -1363
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 277031 608.75 STORM WATER PHASE II
EXCAL VISUAL Invoice
5721 Arapahoe Ave. Suite A2
Boulder, CO 80303 -1363
Invoice Date 03/21/12
Phone: 303 413 -0847 Fax: 303 413 -0683 Invoice 277031
Bill To: Ship To:
CITY OF CARMEL CITY OF CARMEL
1 CIVIC SQUARE 1 CIVIC SQUARE
DEPT OF ENGINEERING DEPT OF ENGINEERING
CARMEL, IN 46032 CARMEL, IN 46032
US US
Contact JOHN THOMAS Attit JOHN THOMAS
Phone 317- 571 -2441 Phone 317- 571 -2441
Customer ID 3151 Rep EVC Preview Ship Date 03/05/12
Order ID 77031 Terms Due upon receipt Ship Date
Order Date 03/05/12 ship Via UPS Ground PO Number vbl /John Thomas
Quantity Code Rom Preview Unit Price Disc NO line To
1 21123 Stormwater Pollution Prevention for $595.00 0.00% 0.00 $595.00
Municipalities "Rain Check" DVD kit
1 21200 Shipping handling SW training materials ❑D $13.75 0.00% 0.00 $13.75
Subtotal $608.75
Freight Charge $0.00
Sales Tax $0.00
Order Total $608.75
Total Payments
Total Due $608.75
Federal Tax ID 84- 1259128
We accept Visa MasterCard and American Express Thank You
EXCAL VISUAL I Invoice
5721 Arapahoe Ave.. Ste. A -2
Boulder, CO 80303 -1363 DATE INVOICE
888- 925 -6554 Toll Free
303 413 -0847 303 -413 -0683 fax 03/30/2012 277032
BILL TO SHIP TO
CITY OF CARMEL CITY OF CARMEL
ATTN: JOHN THOMAS AT"IN: .101 -IN THOMAS
I CIVIC SQUARE I CIVIC SQUARE
DEPT OF 17NGINF.,ERING DEPT OF ENGINEERING
CARMEL.IN 46032- CARMEL. IN 46032
P.O. NUMBER TERMS REP SHIP VIA F.O.B.
Vrbl /.lohn Thomas Due upon receipt JR 03/05/2012 UPS Ground
QUANTITY ITEM CODE DESCRIPTION FULL PRICE PRICE EACH DISCOUNT AMOUNT
1 21 -1105 Spills Skills Non Emergency I- IazMat Spill 384.25 384.25
Response DVD Training Kit
__I_ ,21 -1200- Shipping Handling (Spills Skills) 2.00 2.00
Invoices not paid within 30 days will be subject to a 1.5% Federal TIN 84- 1259128
intCrCSt charge on unpaid balance. We accept VISA. Mastercard $386.25
K American Express
Payments /Credits $0.00
Balance Due $386.25
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
2 .2 61 a r
Total W8
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
IN SUM OF
Go �0 303 i,3�3
ON ACCOUNT OF APPROPRIATION FOR
2i l
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
20
Sippature
Cost distribution ledger classification if Tit e
claim paid motor vehicle highway fund