249727 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $***"***720.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 249727
INDIANAPOLIS IN 46280 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 38401 11307 360.00 RESTROOM FOR HAZEL LA
1125 4353099 38401 11308 360.00 RESTROOM FOR HAZEL LA
� ���r'T-� Invoice
Cice7ise #29-031/33/35
HOOSIER 2201 E. 99th Street SEP 14 2 115 i
hi&a7,apotts, IN4628o
� Date Invoice #
9/4/2015 11307
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 Rnte Amount',`
(1)EAU Serviced 07/08/2015-09/07/2015 9 40.00 360.00
Ha .
1060,1= zel#Dell.Pkw -- - -
Thank you for your business. Balance Due $360.00
Office: (317) 844-6919
EmaiC hoosierportahtes@gmad com
www.hoosieryortabtes.com .�
yJ ..L? DLSCQVER
Invoice
Lice%ise #29-031/33/35 SEP 1 4 2015
HOOSIER 2201 E. 99th Street ;V Date Invoice #
-PIChic6anapolis, IX4628o
9/4/2015 11308
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411E116thSt
Carmel,IN 46032 Customer Alt. Contact
P.O. No. Terms Project
38401 Due upon receipt, please. Meadow Lark Park
Item Service;Dates 1Neeks Weekly'Rate = Amount
(1) EAU Serviced 07/08/2015-09/07/2015 9 40.00 360.00
It is a pleasure working with you! Balance Due $360.00
Office: (317) 844-6919
Email.• hoosierporta6Ces@gmad com
ivww.hoosierporta6Ces.com DL5C:VERT
c r'' ;
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
9/4/15 11307 Portalet restrooms Hazel Landing 7/8 - 9/7/15 38401 $ 360.00
9/4/15 11308 Portalet restrooms Meadowlark Park 7/8 - 9/7/15 38401 $ 360.00
Total $ 720.00
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$
$ 720.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept# .
38401 11307 4353099 $ 360.00 1 hereby certify that the attached invoice(s), or
38401 11308 4353099 $ 360.00 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
September 17, 2015
pko"Vx"
Signature
$ 720.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund