249295 09/09/15 u!.�4qM
;F• CITY OF CARMEL, INDIANA VENDOR: 354857
;, ® ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.....**735.00*
�, ;� CARMEL, INDIANA 46032 2201 E99THST CHECK NUMBER: 249295
�y._ _,o, INDIANAPOLIS IN 46280 CHECK DATE: 09/09/15
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 32592 11235 735.00 PORTOPOT ART OF WINE
®® Invoice
L%ceiise #29-031/33/35
HOOSIER
22o1 E. 99th Street
Date Invoice #
I° o . o e In&anapo6s, IW 46280
o .
8/27/2015 11235
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
3aS� Due upon receipt, please. CRC Artmobilia
Item Service Dates Quantity Rate Amount
Standard Unit(s) Serviced - SE August 28, 2015 7 65.00 455.00
Portable Handwashing Unit svcd August 28, 2015 2 50.00 100.00
EAU Unit(s) Serviced - SE August 28, 2015 1 130.00 130.00
Trash Box August 28, 2015 10 5.00 50.00
It is a pleasure working with you! Total
$735.00
Balance Due $735.00
Office : (317) 844-6919
EmaiC hoosierporta6Ces@gmad com
Website: ww141.hoosierporta6(es.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))
08/27/15 11235 $735.00
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.
ALLOWED 20
Hoosier Portable Restrooms
IN SUM OF $
2201 E. 99th Street
Indianapolis, IN 46280
$735.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32592 I 11235 I 43-590.03 I $735.00 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
Friday, September 04,2015
�1�41 �k
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund