249593 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 369028
® it ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $***....275.10*
,. =4 CARMEL, INDIANA 46032 PO BOX 98 CHECK NUMBER: 249593
ENON OH 45323 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 314862 20.00 OTHER RENTAL & LEASES
1110 4355100 315023 20.00 PROMOTIONAL FUNDS
1192 4355100 321550 235.10 PROMOTIONAL FUNDS
INVOICE
I- FILLS BOTTLED WATER Date: 08131/2015 Invoice# 315023
X r' �
5323
Direct all inquiries regarding this invoice to
our accounting department at 937-864-5495
E IJIPTo Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Attn-. Acts Payable Carmel, IN 46032
Carmel IN 46032
Acct# 055625
Description Quantity Unit Price Taxable Amount
'-i7i,-)'nthly Aug - M0015127 1 @ 10.00 10.00
POonthly Aug - M0067597 1 @ 10.00 10.00
Invoice Total 20.00
Previous Balance: 20.00
Acct Balance 40.00
X----------------------------------------------------------------- --------------------------------------------------------
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))
08/31/15 315023 Keurig $20.00
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
Aqua Falls Bottled Water
IN SUM OF $
PO Box 98
Enon, OH 45323-0098
$20.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 315023 43-551.00 $20.00 I 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
Monday, S ptember 14, 2015
//Z
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
for services delivered to: INVOICE'
CITY OF CARMEL DEPT COMM SERVI
1 CIVIC SQUARE Date:August 31, 2015
CARMEL, IN 46032 Invoice#314862
Account#55041
Description I Qtv Unit Price Taxable Amount
Monthly Equipment Rental 1 $10.00 N $10.00
Monthly Equipment Rental 1 $10.00 N $10.00
Bottle Deposit Sold 0, Returned 0) $0.00
Tax 1 $0.00
Invoice Total: $20.00'
rwv
Previous Balance:Payments Received: $0.00
Acct Balance: $•7-35
Jb DI.—r.f.—this—fi—-ith—,—f i
INVOICE
Aqua Falls Bottled Water
P. 0. Box 98 Date: 09/08/2015 Invoice#321550
Enon OH 45323-0098
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
Acct# 055041
Description Quantity Unit Price Taxable Amount
k cup Donut House 2 @ 12.95 25.90
K-CUP DARK MAGIC 2 @ 13.45 26.90
K-CUP LAKE& LODGE 2 @ 13.45 26.90
K-CUP French Rst G 2 @ 13.45 26.90
kcup English Brea 2 @ 12.95 25.90
kcup Pumpkin Spic 2 @ 12.45 24.90
Kcup Hawaiian Blen 2 @ 12.95 25.90
k cup Lemon Zinger 2 @ 12.95 25.90
Kcup Irish Breakfa 2 @ 12.95 25.90
Invoice Total : �35.
Previous Balance:
Acct Balance : X95
Q -_________________________________ _ _ -D
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))
08/31/15 314862 $20.00
09/08/15 321550 $235.10
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Aqua Falls Bottled Water
IN SUM OF $
P.O. Box 98
Enon, OH 45323
$255.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 314862 43-530.99 $20.00 I hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
1192 321550 43-551.00 $235.10
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, Septe ber 18, 2015
f
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund