HomeMy WebLinkAbout239574 11/25/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 366244
ONE CIVIC SQUARE MEDASSURE CHECK AMOUNT: $*■**raw250.00'
CARMEL, INDIANA 46032 1013 S GIRLS SCHOOL ROAD CHECK NUMBER: 239574
INDIANAPOLIS IN 46231 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1933191 250.00 OTHER EXPENSES
Customer Number
MedAssure
1013 S.Girls School Road
Indianapolis, IN 46231 000240
(31 7) 635-8000
MED
InvoiSSUREce Date
10/31/2014
�f�:�. Invoke Number
A SAFE A111D C:EAI4 SOLIMOX FOR YOUR tAED:CAL IViASTE S"RF-wM'
BILL TO: 001933191
Carmel Household Hazardous Waste
30 West Main
Carmel, IN 46032
TERMS DUE DATE SALES REP
SERVICE DATE Net 15 Days 11/15/2014
DESCRIPTION CONT.COUNT I QTY/WGHT UNIT PRICE I AMOUNT
-001--Carmel-Household-Hazardous—901-N-Rartge-Lin Rd ----
Manifest#0000229064
10/30/14 31 Gallon Mixed Waste Per Container 1 10.00 25.00 250.00
CURRENT 30 DAYS 60 DAYS 90 DAYS OVER 90 DAYS Invoice Amount 250.00
250.00 0.00 0.00 0.00 0.00
VOUCHER # 146054 WARRANT # ALLOWED
366244 IN SUM OF $
MEDASSURE
1013 S GIRLS SCHOOL ROAD
INDIANAPOLIS, IN 46231
1
l
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1933191 01-736H-08 $250.00
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Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
j 366244
MEDASSURE Purchase Order No.
1013 S GIRLS SCHOOL ROAD Terms
INDIANAPOLIS, IN 46231 Due Date 11/20/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201, 1933191 $250.00
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
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Date Officer