258638 05/13/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUAREHOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: S*******330.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 258638
INDIANAPOLIS IN 46280 CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 12292 330.00 OTHER RENTAL & LEASES
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, IN 46280
In Sum of$
$ 330.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. 4CCT#/TITLE AMOUNT Board Members
Dept#
1125 12292 4353099 $ 330.00 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
May 3, 2016
'PAk&MJVLtAj
Signature
$ 330.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
3/29/16 12292 Portalet Rental Monon Trailheads 4/8-22/16 xx3531 $ 330.00
Total $ 330.00
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
RECEIVEI D .
Invoke
License#29-031/33/35 MAY - 2 2016
(�. !'""10 9gth SmreeG7 ��: CDate <r Invoice
� I� polis,IN6z8o rpt -5r `
tire: 3 3/29/2016 12292`
Bill To: Customer Phone
573-4026
Carmel Clay Parks Department
Attn: Dawn Koepper
1411 E 116th St Customer Alt. Phone
Carmel,IN 46032
P.O. No. Terms Project
XX-3531 Due upon receipt,please. Monon Painting
Item Service Dates Quantity Rate`
5tandard Unit(s)Serviced - SE Apr 8-22 2016 2 65.00 130.00
North End _
Pick Up Apr 15 1 25.00 25.00
Additional Cleaning Apr 15 2 25.00 50.00
Additional Cleaning Apr 22 2 25:00 50.00'.
Additional Cleaning. Apr 25 2 25.00 50.00
Pick Up Apr 29 2016 1 25.00 25.00
South End
Total $330.00
Office : (317) 844-6919 Payments/Credits $0.00
EmaiG hoosierporta6les@gmail.com Bctict� lice Due a ? $ 30'00 2
1Nebsite: www.hoosierportabtes.cow
VISA ;
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