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CITY OF CARMEL, INDIANA VENDOR: 354857
i' ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: S.....****65.00*
Via; CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 238626
�M,iroN.�. INDIANAPOLIS IN 46280 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 9792 65.00 GENERAL PROGRAM SUPPL
Hoosier Portable Restrooms CF, I Invoice
License #29-031/33/35 OCT 16 2014 Date Invoice #
2201 E. 99th Street
Indianapolis, IN 46280 BY: 10/10/2014 9792
(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
Skate Park Due upon receipt,please.
Item Service Dates Quantity U/M Rate Amount
Standard Unit(s)Se... October 11,2014 1 65.00 65.00
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It is a pleasure working with you!
Total $65.00
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
10/10/14 9792 Portable restroom for W night 10/11/14 xa1194 $ 65.00
Total $ 65.00
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$
$. 65.00 f
ON ACCOUNT OF APPROPRIATION FOR
I
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 9792 4239039 $ 65.00 I 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
i
materials or services itemized thereon for
iwhich charge is made were ordered and
received except
23-Oct 2014
r
Signature
$ 65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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