235120 07/22/14 +pr.CAgy
CITY OF CARMEL, INDIANA VENDOR: 354857
I; ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $
*******560.00*
:9 ,?� CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 235120
INDIANAPOLIS IN 46280 E• 07/22/14
,,._.__.-. CHECK DAT
/ETON r'-0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 8874 280.00 GROUNDS MAINTENANCE
1125 4350400 8903 280.00 GROUNDS MAINTENANCE
Hoosier Portable Restrooms Invoice
License #29-031/33/35 4 Date Invoice #
2201 E. 99th Street �C_'F VIE—
°VIE 7/8/2014 8874
Indianapolis, IN 46280 '
P JUL 1 1 20i4
(317) 844-6919
i
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel, IN 46032
- --Project P.b. No. Teras —
Hazel Landing Park 30086 Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 05/19/2014 -07/07/2014 7 40.00 280.00
10601 Hazel Dell Pkwy
pov�v�i' reshioo,�s } r.�,z1z.P d, �
It is a pleasure working with you! Total
$280.00
www.hoosierportables.com (317) 844-6919 hoosierportables@gmail.com
Hoosier Portable Restrooms - --, Invoice
License #29-031/33/35 Date Invoice #
2201 E. 99th Street FY:
I ::r
7/8/2014 8903
Indianapolis, IN 46280
(317) 844-6919 =J
Bill To: Customer Phone
Carmel Clay Parks Department- 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel, IN 46032
J— Project __ _ P.O. No. Terms -
Meadow Lark Park 30086 Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 05/19/14-07/07/2014 7 40.00 280.00
PorkatC�' res ets-- 5/iq --7/7/14
3noos P
11a5- 4-- 1L4 -4---27>50401 D
It is a pleasure working with you Total $280.00
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 Amount
Date Number (or note attached invoice(s)or bill(s)) PO#
37005 $ 280.00
7/8/14 8874 Portalet restrooms Hazel Landing 37005 $ 280.00
7/8/14 8903 Portalet restrooms Meadowlark Park
Total $ 560.00
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
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, IN 46280 i
{ In Sum of$
$ 560.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 8874 4350400 $ 280.00 1 hereby certify that the attached invoice(s), or
1125 8903 4350400 $ 280.00 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
16-Jul 2014
I
�I
Signature
$ 560.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund