252007 12/02/15 a� CITY OF CARMEL, INDIANA VENDOR: 354857
b it ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $
.....**480.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 252007
INDIANAPOLIS IN 46280 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 38401 11686 240.00 RESTROOM FOR HAZEL LA
1125 4353099 38401 11687 240.00 RESTROOM FOR HAZEL LA
Invoice
License #29-031/33/35
®�S1E� 22o1 E. 99th Stre _t_- _
7 -a 1'� Date Invoice #
IndianapoCis, I g'Rz >_',. ��.f�_: a_:
r�G L.e __ff80 66
NOV 1 2 2015 11/3/2015 11686
Bill To: - Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel,IN 46032 Customer Alt. Contact
O. No. Terms Project
38401 / Due upon receipt, please. Meadow Lark Park
Item- Service=gates Weeks 'Weekly Rate Amount
(1)EAU Serviced 09/07/2015-10/19/2015 6 40.00 240.00
I
Final Bill for this project. Thank you! Balance Due
$?au.00
i
Office: (317) 844-6919
Emad hoosierportab(es@gmai(.co-"2
www.hoosierporta6(es.com y��� EC DISCOVER''
Invoice
License #2g-031/33/35 � `��E+ l
HOOSIER 22o1 E 99th Street
µ_TQ InanapoCisJ I.Nq.G2so
di [1� NOV 12 2015 Date Invoice #
BI,: 11/3/2015 11687
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 Week's Weekly-Rate Amount
(1)EAU Serviced _ 09/07/2015-10/19/2015 6 40.00 240_.00
,10601 Hazel Dell Pkwy
r
Final Bill for this project. Thank you!
Balance Due $240.00
Office: (317) 844-6919
Emad hoosierporta6Ces@gmail:com _
wiviv.hoosierportabtesxom `- " DISC )VEK1
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
11/3/15 11686 Portalet restrooms Meadowlark 9/7 - 10/19/15 38401 $ 240.00
11/3/15 11687 Portalet restrooms Hazel Landing 9/7 - 10/19/15 38401 F $ 240.00 i
Total $ 480.00
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$
$ 480.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
38401 11686 4353099 $ 240.00 1 hereby certify that the attached invoice(s), or
38401 F 11687 4353099 $ 240.00 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
November 23, 2015
Signature
$ 480.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund