247889 07/28/1 5 �r C.IA'F
%' - CITY OF CARMEL, INDIANA VENDOR: 354857
® { ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.....1,795.00'
::, ,_ CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 247889
''"�.�N Eo. INDIANAPOLIS IN 46280 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 38401 10635 320.00 RESTROOM FOR HAZEL LA
1125 4353099 38401 10636 320.00 RESTROOM FOR HAZEL LA
1203 R4359003 32011 11020 215.00 PORTOLETS A&DD EVENTS
1203 4359003 32592 11020 940.00 PORTOPOT ART OF WINE
Invoice
License #29-031/33135
OS 2201 E. ggth Street JUL 13 2015
Date Invoice #
At, Indianapolis, IN4628o
B YY.- 7/6/2015 10635
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel,IN 46032 Customer Alt. Contact
P.O. No. Terms Project
38401 Due upon receipt, please. Hazel Landing Park
_= Item Service,Dates= _= Weeks. Weekly-_Rate-, _ Amount.
(1)EAU Serviced 05/13/2015-07/08/2015 8 40.00 320.00
`=
10,601 Hazel:Dell-Pkwy--
Thank you for your business. Balance Due $320.00
I
I
Office: (317) 844-6919
Emad hoosierportabtes@gmail.com
��5�-vER
www.hoosierporta6Ces.coin w;,4,,
m0510
00
�q �
License #29-031/33/35 T� Invoice
HOOSIER
2201 F. g9th street
JUL 13 2015 Date Invoice #
Q� ` e � D Y Indianapolis, IX 46280
7/8/2015 10636
LBill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel,IN 46032 Customer Alt. Contact
P.O. No. Terms Project
38401 Due upon receipt, please. Meadow Lark Park
Item = - - - `Service_Dotes. Weeks: Weekl .Rote
mount.
(1)EAU Serviced 05/13/2015-07/08/2015 8 40.00 320.00
It is a pleasure working with you! Balance Due $320.00
}
Office: (317) 844-6919
NmaN��.00s rrprrt6C se commailco�i
... "."._. . � ;^; . .,�� a c>VER
oosce yoto e1.5, °'
,
*1t
- ,..•. Pei. � S � �x �'Z �_��,'^,
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
354857 Hoosier Portable Restrooms, Inc. Terms
2201 E. 99th Street
Indianapolis, iN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/6/15 10635 Portalet restrooms Hazel Landing 5/13 -7/8/15 38401 $ 320.00
7/8/15 10636 Portalet restrooms Meadowlark Park 65/13 -7/8/15 38401 . $ 320.00
Total $ 640.00
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
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, iN 46280
In Sum of$
$ 640.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
38401 10635 4353099 $ 320.00 1 hereby certify that the attached invoice(s), or
38401 10636 4353099 $ 320.00 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
July 23, 2015
Signature
$ 640.00~ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
® Invoice
License #2g-o31/33/35
HOOSIER22o1 E. 99th Street
InduinapoCis, IN4628o
Date Invoice #
7/16/2015 11020
Bill To: Customer Phone
City of Carmel 317-571-2791
Community Relations Department
One Civic Square
Carmel, IN 46032 Customer Alt. Phone
201-2491
P.O. No. Terms Project
Due upon receipt, please. CRC Art of Wine '15
Item Service Dates Quantity Rate Amount
Standard Unit(s) Serviced - SE July 18, 2015 2 65.00 130.00
Portable Handwashing Unit svcd July 18, 2015 1 50.00 50.00
Trash Box 25 5.00 125.00
Luxury Trailer 3 stall 1 850.00 850.00
It is a pleasure working with you! Total
$1,155.00
Office : (317) 844-6919
Balance Due $1,155.00
EmaiC hoosierporta6Ces@gmailcom = ��
y�� o- , oiscavor
Website: www.hoosierportabCes.com
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))
07/16/15 11020 $940.00
07/16/15 11020 $215.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Portable Restrooms
IN SUM OF $
2201 E. 99th Street
Indianapolis, IN 46280
$1,155.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32592 11020 43-590.03 $940.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
32011 11020 43-590.03 $215.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Sunday,July 26,2015
Director, Community Relations/Eco omic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund