HomeMy WebLinkAbout257077 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 369028
ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $"`"`""196.25•
CARMEL, INDIANA 46032 PO BOX 98 CHECK NUMBER: 257077
vM�TON ENON OH 45323 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4355100 559170 196.25 PROMOTIONAL FUNDS
rescribed by State Board of Accounts City Form No.201(Rev,1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
thom, rates per day, number of hours,rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No. .
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01116116 511170 Coffee for guests $196.25
1192 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
AQUA FALLS BOTTLED WATER ALLOWED 20
PO BOX 98IN SUM OF$
ENON, OH 45323
$196.25
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
r.
PO# Dept. INVOICE NO. ACCT#/Fund AMOUNT,,,, Board Members
559170 43-551.00 $196.25
1192 101 1 hereby certify that the attached invoice(s), or
bill(S)is,(are)true and correct and that the
I materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, March 29, 2016
I
N4�0
Cost distribution ledger classification if
claim paid motor vehicle.highway fund
INVOICE
Aqua Falls Bottled Water Date: 03/08/2016 Invoice#559170
P. O. Box 98
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 Peruvian 24 1 @ 12.95 12.95
K cup Brown Gold 1 �@ 12.95 12.95
K-CUP VER CO BL 2 @ 13.45 26.90
Kcup Hawaiian Blen 3 @ 12.95 38.85
K-CUP LAKE& LODGE 2 @ 13.45 26.90
k cup Newmans bold 2 @ 12.95 25.90
kcup English Brea 2 @ 12.95 25.90
Kcup Irish Breakfa 2 @ 12.95 25.90
Invoice Total : 196.25
Previous Balance: 93c8rr
Acct Balance : 0