HomeMy WebLinkAbout248376 08/12/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $*******350.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 248376
INDIANAPOLIS IN 46280 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 11038 350.00 OTHER CONT SERVICES
Invoice
License #29-031/33/35
H 0* '1E 2201 E. 99th Street Date Invoice #
IndcanapoCis, rX 4628o
7/22/2015 11038
Bill To: Customer Phone
Carmel Fire Department 317-409-3538
Keith Freer
2 Civic Square
Carmel, IN 46032 Customer Alt. Phone
P.O. No. Terms Project
Verbal/Tim Due upon receipt, please. Firefighter for a Day
Item Service at = Quantity. Rate AmOUnt_"
Standard Unit(s) Serviced - SE July 21-23, 2015 4 50.00 200.00
Porndwa
table Has,
hang Station Praire Trace;Elementnry .' _ _3 50 00 150;00
Trash Box recycled 6 0.00 0.00
It is a pleasure working with you! Tota/
$350.00
Office : (317) 844-6919 Bo%ace Due $350.00
Email hoosierporta6Ces@gmaiC.com �;7
'Website: www.hoosieryortabCes.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hoosier Portable Restrooms
IN SUM OF$
2201 E. 99th Street
Indianapolis, IN 46280
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
E NO. ACCT#/TITLE AMOUNT
PO#/Dept. INVOIC Board Members
1120 11038 43-509.00 $350.00 1 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
If
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))
11038 FF for a Day $350.00
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