237409 09/23/14 t�,.�,q"•F CITY OF CARMEL, INDIANA VENDOR: 354857
® it ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.....**640.00*
x. � CARMEL, INDIANA 46032 2201E 99TH ST CHECK NUMBER: 237409
9y. INDIANAPOLIS IN 46280 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 9555 320.00 GROUNDS MAINTENANCE
1125 4350400 9557 320.00 GROUNDS MAINTENANCE
Hoosier Portable Restroom��.s�� Invoice
License #29-031/33/35 Date Invoice #
2201 E. 99th Street SEP 15 2014 9/5/2014 9555
Indianapolis, IN 46280
B
(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
Hazel Landing Park 37005 J( Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 07/07/2014-09/05/14 8 40.00 320.00
10601 Hazel Dell Pkwy
5
5O oo
It is a pleasure working with you!
Total $320.00
www.hoosierportables.com (317) 844-6919 hoosierportables@gmail.com
i
Hoosier Portable Restrooms Invoice
License #29-031/33/357SEP
�r�-�, Date Invoice #
2201 E. 99th Street 9/5/2014 9557
Indianapolis, IN 46280 2414
(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
Meadow Lark Park 37005 j( Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 07/07/2014-09/05/14 8 40.00 320.00
J), o aA6S--f V1uCu-( '7 -w/s-
I T)4-14 -4-3501 o
It is a pleasure working with you!
Total $320.00
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
9/5/14 9555 Portalet restrooms Hazel Landing 7/7 - 9/5/14 37005 $ 320.00
9/5/14 9557 Portalet restrooms Meadowlark Park 7/7 - 9/5/14 37005 $ 320.00
Total $ 640.00
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
In Sum of$
$ 640.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 9555 4350400 $ 320.00 1 hereby certify that the attached invoice(s), or
1125 9557 4350400 $ 320.00 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
18-Sep 2014
0171
Signature
$ 640.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund