HomeMy WebLinkAbout233056 05/28/14 CITY OF CARMEL, INDIANA VENDOR: 354857
(; ® ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.....**230.00*
s. ?� CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 233056
•y��oN INDIANAPOLIS IN 46280 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 36804 8715 230.00 PORTALETS FOR WEST PA
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EIAY 1 3 X014
Hoosier Portable Restrooms py:
License #29-031/33/35
`�'-" ` � ' -� Date Invoice#
2201 E. 99th Street 4/18/2014 8715
Indianapolis, IN 46280
(317) 844-6919
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel, IN 46032
Project P.O. No. Terms
West Park 36804 Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) Standard Unit Se... 04/21/14-05/09/14 3 20.00 60.00
(1) EAU Serviced 04/21/14-05/09/14 3 40.00 120.00
Additional Cleaning 2 25.00 50.00
--- _ -- ---- - l -�5-4-12 435C40 0
Total $230.00
www.hoosierportables.com (317) 844-6919 hoosierportables@gmail.com
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
354857 Hoosier Portable Restrooms, Inc. Terms
2201 E. 99th Street
Indianapolis, iN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/18/14 8715 Portalets for West Park restroom remodel project 36804 $ 230.00
Total $ 230.00
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. I
354857 Hoosier Portable Restrooms, Inc. I Allowed 20
2201 E. 99th Street I
Indianapolis, iN 46280
In Sum of$
$ 230.00
i
i
ON ACCOUNT OF APPROPRIATION FOR
i
101 General Fund
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
36804 F 8715 4350400 $ 230.00 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
I
L.
22-May 2014
Signature
$ 230.001 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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