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252535 12/15/15 ��'�,A,f. CITY OF CARMEL, INDIANA VENDOR: 369028 j; ® it ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $ ...*'"40.00` r. r CARMEL, INDIANA 46032 PO BOX 98 CHECK NUMBER: 252535 9�(fpN Lam'` ENON OH 45323 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4353099 399230 20.00 OTHER RENTAL & LEASES 1110 4355100 399386 20.00 PROMOTIONAL FUNDS INVOICE AQUA FALLS BOTTLED WATER P.O. Box 98 Date: 11/30/2015 Invoice#399230 Enon OH 45323 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 _I Description Quantity Unit Price Taxable SC--22901.1010 Monthly Nov-ME068056 1 @ 10.00 Monthly Nov-M0068256 1 @ 10.00 Invoice Total : Previous Balance: Acct Balance : -------------------------------------- ----- .,F , M I� , 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)) 11/30/15 399230 $20.00 I I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. Aqua Falls Bottled Water ALLOWED 20 IN SUM OF$ P.O. Box 98 Enon, OH 45323 $20.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 I 399230 I 43-530.99 $20.00 I 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, December 11, 2015 Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE AQUA FALLS BOTTLED WATER Date: 1113012015 Invoice# 399386 P.O. BOX 98 Enon Oh 45323 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 Bill To 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 Monthly Nov- M0015127 1 @ 10.00 10.00 Monthly Nov- M0067597 1 @ 10.00 10.00 Invoice Total : 20.00 Previous Balance: 40.00 Acct Balance : 60.00 —�� ---- - ---- __ e. 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)) 11/30/15 399386 monthly payment $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 I 399386 I 43-551.00 I $20.00 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 Monday, Dece ber 07, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund