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Home My WebLink About241915 02/10/15 CAq �yCITY OF CARMEL, INDIANA VENDOR: 369028 CHECK AMOUNT: $****'**212.80* .; ® ,• ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CARMEL, INDIANA 46032 Po Box 98 CHECK NUMBER: 241915 ENON OH 45323 CHECK DATE: 02/10/15 t ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355100 091363 182.80 PROMOTIONAL FUNDS 1192 4355100 099262 10.00 PROMOTIONAL FUNDS 1192 4353099 108461 20.00 OTHER RENTAL & LEASES INVOICE AQUA FALLS BOTTLED WATER Date: 01/31/2015 Invoice#108461 P:O. Box 98 Enon OH 45323 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 Bill To Ship To City Of Carmel Dept Comm Servi City Of Carmel Dept Comm Servi 1 Civic Square 1 Civic Square Carmel IN 46032 Carmel, IN 46032 /46032014/ Acct# 055041 Description Quantity Unit Price Taxable Amount Monthly Jan-M0068056 1 @ 10.00 [Tx] 10.00 Monthly Jan- M0068256 1 @ 10.00 IN 10.00 (DAYTON 1.4500) Tax Invoice Total : r Previous Balance: 5 Acct Balance 22no INVOICE AQUA FALLS BOTTLED WATER P.O. Box 98 Date: 01/15/2015 Invoice#091363 Enon OH 45323 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 P.o.# ups order 1/8 Bill To Ship To City Of.Carmel Dept Comm Servi City Of Carmel Dept Comm Servi 1 Civic Square 1 Civic Square Carmel IN 46032 Carmel, IN 46032 /46032014/ Acct# 055041 Description Quantity Unit Price Taxable Amount -K-CUP-MAN OR SPICE 2 @ 12.95 25.90 kcup English Brea 2 @ 12.95 25.90 Kcup Irish Breakfa 2 @ 12.95 25.90 K-CUP GREEN TEA 1 @ 12.95 12.95 kcup Starbucks Pik 1 @ 15.95 15.95 Margaritaville Su 1 @ 11.95 11.95 k cup Newmans bold 2 @ 12.95 25.90 Kcup Martinson Don 1 @ 9.95 9.95 K-Breakfast Blend 1 @ 13.45 13.45 K cup Cafe Vanilla 1 @ 14.95 14.95 Invoice Total : 182.80 Previous Balance: 134.28 Acct Balance : 317.08 INVOICE AQUA FALLS BOTTLED WATER P.O. Box 98 Date: 01/23/2015 Invoice#099262 Enon OH 45323 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 P.o.#. ups order Bill To Ship To City Of Carmel Dept Comm Servi City Of Carmel Dept Comm Servi 1 Civic Square 1 Civic Square Carmel IN 46032 Carmel, IN 46032 /46032014/ Acct# 055041 Description Quantity Unit Price Taxable Amount FRENCH VAN coffeem 2 @ 3.50 7.00 STIR STIX 1 @ 3.00 [Tx] 3.00 (DAYTON 0.2175) -Tax Invoice Total : 10.22 Previous Balance: 317.08 Acct Balance : '327.30 i VOUCHER NO. WARRANT NO. Aqua Falls Bottled Water ALLOWED 20 IN SUM OF $ I P.O. Box 98 Enon, OH 45323 $212.80 ON ACCOUNT OF APPROPRIATION FOR i Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 091363 43-551.00 $182.80i 1 hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1192 099262 43-551.00 $10.00. materials or services itemized thereon for 1192 108461 43-530.99 $20.00, which charge is made were ordered and i received except i Thursday, February 05, 2015 2 ire r Title Cost distribution ledger classificatiori if I 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)) 01/15/15 091363 $182.80 01/23/15 099262 $10.00 01/31/15 108461 $20.00 1 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