239046 11/11/14 y _4�A,, CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.....""560.00"
s.� �� CARMEL, INDIANA 46032 2201E 99TH ST CHECK NUMBER: 239046
9M�itoN��' INDIANAPOLIS IN 46280 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 9871 280.00 GROUNDS MAINTENANCE
1125 4350400 9875 280.00 GROUNDS MAINTENANCE
Hoosier Portable Restrooms, Inc. Invoice
License#29-031/33/35
2201 E. 99th Street OCT 2 8 2014 Date Invoice #
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Indianapolis, IN 46280 10/24/2014 9871
Bill To: Customer Phone
Carmel ClayParks Department p 573-4026
Attn: Dawn Koepper
1411 E 116th 5t
Carmel,IN 46032
P.O. No. Terms Project
37005 Due upon receipt, please. Meadow Lark Park
Item Service Dates Weeks Weekly Rate Amount
(1)EAU Serviced 09/05/14-10/23/14 7 40.00 280.00
rAqD
It is a pleasure working with you! Toto/ $280.00
Hoosier Portable Restrooms, Inc.
(317) 844-6919
www.hooslerportables.com
Hoosier Portable Restrooms, Inc. Invoice
License#29-031/33/35
Date Invoice #
2101 E. 99th Street OCT 2 g 2014
indiana .�?l
po/is, IN 46280 10/27/2014 9875
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th 5t
Carmel,IN 46032
P.O. No. Terms Project
37005 Due upon receipt, please. Hazel Landing Park
Item Service Dates Weeks Weekly Rate Amount
(1)EAU Serviced 09/05/14-10/23/14 7 40.00 280.00
10601 Hazel Dell Pkwy
IbM*CQ/n
140-Zd 91s
q'3504%
Final Bill for this project. Thank you! Tota/
$280.00
Hoosier Portable Restrooms, Inc.
(317) 844-6919
www.hoosierportab/es 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
_ 10/24/14 9871 Portalet restrooms Meadowlark Park 9/5 - 10/23/14 37005 $ 280.00
10%27/14" —9875` Portalet restroorts-Hazel Landing-9/5- 10/23/14 37005 $ 280.00
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
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Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, IN 46280
In Sum of$
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$ 560.00 if+
ON ACCOUNT OF APPROPRIATION FOR
�j
101 General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 9871 4350400 $ 280.00 1 hereby certify that the attached invoice(s), or
1125 9875 4350400 $ 280.00 bill(s)is(are)true and correct and that the
I' materials or services itemized thereon for
which charge is made were ordered and
received except
i.
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i 6-Nov 2014
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Signature
$ 560.00 ) Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor.vehicle highway fund
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