245044 5 /13/2015 �/ r 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: 245044
,y��TON�°� ENON OH 45323 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 197909 20.00 OTHER RENTAL & LEASES
INVOICE
AQUA FALLS BOTTLED WATER Date: 04/30/2015 Invoice#197909
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 Apr-M0068056 1 @ 10.00 10.00
Monthly Apr- M0068256 1 @ 10.00 10.00
Invoice Total : 20.00
Previous Balance: 33.85
Acct Balance : 53.85
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
i
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
hereby certify that the attached invoice(s), or
1192 197909 43-530.99 I $20.00
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, May 11, 2015
r
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))
04/30/15 197909 Pot rental $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
20
Clerk-Treasurer