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CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $********30.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 240319
INDIANAPOLIS IN 46280 CHECK DATE: 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 32011 10071 30.00 PORTOLETS A&DD EVENTS
Hoosier Portable Restrooms, Inc. Invoice
License#29-031/33/35 .
2201 E. 99th Street Date Invoice #
Indianapolis, IN 46280 12/10/2014 10071
Bill To:
Customer Phone
317-571-2791
City of Carmel
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project - -
Verbal/Megan Due upon receipt, please. December 13th
Item Service Dates Quantity r Rate Amaur�t<-
Trash Box December 13, 2014 6 5.00 30.00
- q.3 0/ e03
Total $30.00
Hoosier Portable Restrooms, Inc.
317-844-6919
www.hoosierportables.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Portable Restrooms
IN SUM OF$
2201 E. 99th Street
Indianapolis, IN 46280
$30.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32011 I 10071 I 43-590.03 I $30.00 1 hereby certify that the attached invoice(s), or
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
Monday, December 15,2014
Director,Comm ity Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/10/14 10071 $30.00
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