HomeMy WebLinkAbout253576 01/22/16 4��'.�,A"f. CITY OF CARMEL, INDIANA VENDOR: 369028
'` CHECK AMOUNT: $********30.00*
.;; ® il• ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER
9; �_� CARMEL, INDIANA 46032 Po Box 98 CHECK NUMBER: 253576
�'��ioN.E°. ENON OH 45323 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4350900 31606 430624 10.00 COFFEE SERVICE
1110 4355100 430773 20.00 PROMOTIONAL FUNDS
INVOICE
AQUA FALLS BOTTLED WATER
P.O. BOX 98 Date: 12/31/2015 Invoice#430773
Enon Oh 45323
Direct all inquiries regarding this invoice to
our accounting department at 937-864-5495
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Attn: Acts Payable Carmel, IN 46032
Carmel IN 46032
Acct# 055625
Description Quantity Unit Price Taxable Amount
Monthly Dec- M0515127 1 p@ 10.00 10.00
Monthly Dec- M0067597 1 p@ 10.00 10.00
Invoice Total : 20.00
Previous Balance: 20.00
Acct Balance : 40.00
Prescribed'by State_Board of Accounts City Form No.201(Rev.1995)
VT;NO.
ALLOWED . 20 ACCOUNTS PAYABLE VOUCHER
IN suns OF$ CITY OF CARMEL
J:
An invoice or bill to be properly itemized.must'show::kind of service,where performed,dates.service.rendered., by'
I. whorn,'rates per day,.number of hours, rate per hour, number.of units; price per unit,etc.
4
Payee
.`'• .. ..
Purchase Order.No.
TION FOR.
4
Terms
Date..Due.
invoice Date invoice#: Description Amount
I AMOUNT
Board Members �; Det Fund#
p. (or note.attached invoice(s)or bill(s))
$20.00 12/31/15 430773 $20.00
y '
I-hereb certifythat'the attached invoice( )
s , or
Prior Year .. .. . .1.1'10__ 101
bill(s) is (are).true and correct and that the
materials-or-services itemized thereon for .
j. which charge is made were ordered:and !
received except l
r.
Friday, January 15; 2016 +.
I
L
I f
i'
m if I.hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
and with.IC 5-11-10-1'.6
20
,y
Clerk.Treasurer.
INVOICE
AQUA FALLS BOTTLED WATER
P.O. Box 98 Date: 12/31/2015 Invoice#430624
Enon OH 45323
Direct all inquiries regarding this invoice to
our accounting department at 9377864-5495
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
Monthly Dec-M0052368 1 @ 10.00 10.00
Invoice Total : 10.00
Previous Balance: 73.85
Acct Balance : 83.85
_______________________________________________ _--_--__________________
Please Return This Portion With Payment
City Of Carmel Dept Comm Servi Payment Voucher
1 Civic Square
Carmel IN 46032 Account# Invoice# Invoice Date
055041 430624 12/31/2015
Due Date
AQUA FALLS BOTTLED WATER Upon Receipt
P.O. Box 98 Invoice Total Ak6unt Paid/
Enon OH 45323 10.00
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/08/16 I 430624 I I $10.00
1192 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120-
Clerk-Treasurer
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
AQUA FALLS BOTTLED WATER ALLOWED 20
PO BOX 98
IN SUM OF$
ENON, OH 45323
$10.00
I
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT7, Board Members
31606 I 430624 I 43-509.00 I $10.00 1 hereby certify that the attached invoice(s), or
1192 Encumbered 101
bill(s) is (are)true and correct and that the
i
materials or services itemized thereon for
i which charge is made were ordered and
.j
received except
Monday, January 11, 2016
1,
,i
e
t
5
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund