224654 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00350035 Page 1 of 1
ONE CIVIC SQUARE SPILL 911,INC
CARMEL INDIANA 46032 PO BOX 784 CHECK AMOUNT: $473.80
,
9i -tea WESTFIELD IN 46074-0784
CHECK NUMBER: 224654
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 47306 473 . 80 OTHER EXPENSES
I Invoice 47306
Invoice Date 08/28/13
www.Spill9ll.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:
CARMEL SEWER DEPARTMENT CARMEL SEWER DEPARTMENT
ATTN-. Blaine Mallaber/AP ATTN-. Blaine Mallaber/PO#S13711
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis, IN 46280 Indianapolis, IN 46280
Customer Ship Via F.O.B. Terms
CAR062 BESTWAY _ ORIG_IN _ _ _ Net 30 Days
Purchase Order Number Salesperson Order Date Our Order Number
S13711 08/27/13 64724
Quantity Ordered Quantity Shipped Item Number Unit of Measure Unit Price Extended Price
Back Ordered Item Description Discount%I Tax
2 2 AR-1003-0010 EACH 84.00 168.00
0 AR 12' Sock N
3 3 AR-1030-0100 EACH 84.00 252.00
0 AR Double Weight Small Pad N
1 1 SHIPUPS EACH 53.80 53.80
0 Shipping UPS Ground N
PLEASE MAIL REMITTANCES TO:
Spill 911 Inc.
PO Box 784
Westfield, IN 46074-0784
Net due on 09/27/13
Nontaxable Subtotal 473.80
Taxable Subtotal 0.00
Tax 0.00
Total Invoice 473.80
Customer Original Page 1
VOUCHER # 136392 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
47306 01-7202-05 $473.80
Voucher Total $473.80
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 9/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11/2013 47306 $473.80
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
7r/�/3
Date Officer