244430 04/21/15 CITY OF CARMEL, INDIANA VENDOR: 369028
ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT; $********20.00*
CARMEL, INDIANA 46032 Po Box 98 CHECK NUMBER: 244430
ENON OH 45323 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355100 167738 20.00 PROMOTIONAL FUNDS
INVOICE
AQUA FALLS BOTTLED WATER Date: 03/31/2015 Invoice#167738
P.O. BOX 98
Enon Oh 45323
Direct all inquiries regarding this invoice to
our accounting department at 937-864-5495
Bill To Ship To
Carmel Police Deptment Carmel Police Deptment
3 Civic Square 3 Civic Square
Attn: Acts Payable Carmel, IN 46032
Carmel IN 48032
Acct# 055625
Description Quantity Unit Price Taxable Amount
Monthly Mar-M0015127 1 @ 10.00 [Tx] 10.00
Monthly Mar-M0067597 1 @ 10.00 [Tx] 10.00
(KENTUCKY 1.2000)
Tax
Invoice Total : 21.20
Previous Balance: 0.00
Acct Balance : 21.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aqua Falls Bottled Water
IN SUM OF$
PO Box 98
Enon, OH 45323-0098
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 167738 43-551.00 $20.00 I 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
Tuesday, April 14, 2015
Chief of Police
Title
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))
04/20/15 167738 monthly payment $20.00
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
120
Clerk-Treasurer