243891 04/08/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 369028
ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: S`"•"`•'20.00•
CARMEL, INDIANA 46032 EPo NON X 98 46323 CHECK NUMBER: 243891
CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 167594 20.00 OTHER RENTAL & LEASES
INVOICE
AQUA FALLS BOTTLED WATER Date: 03/31/2015 Invoice#167594
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
Monthly Mar- M0068056 1 @ 10.00 10.00
Monthly Mar- M0068256 1 @ 10.00 10.00
Invoice Total : 0.00
Previous Balance:
Acct Balance
---- -----------------------------------------------------
Return Return This Portion With Payment
City Of Carmel Dept Comm Servi Payment Voucher
1 Civic Square
Carmel IN 46032 Account# Invoice# Invoice Date
055041 167594 03/31/2015
Due Date
Upon Receipt
Invoice Total Amount Paid
AQUA FALLS BOTTLED WATER 20.00
P.O. Box 98
Enon OH 45323
/453230098989/
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aqua Falls Bottled Water ;
IN SUM OF $
P.O. Box 98
Enon, OH 45323
$20.00
ON ACCOUNT OF APPROPRIATION FOR
,Carmel DOCS
PO#/DeP t. INVOICE NO. ACCT#/T
ITLE AMOUNT
Board Members
1192 167594 43-530.99 $20.00
I hereby certify that the attached invoice(s), or
I I I ;
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
i which charge is made were ordered and
I
received except
Friday, April 03, 2015
I
I ct
Title
I
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
03/31/15 167594 Coffee pot rental $20.00
r
i
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with 1C 5-11-10-1.6
, 20
Clerk-Treasurer