HomeMy WebLinkAbout259575 06/14/16 Q
CITY OF CARMEL, INDIANA VENDOR: 354857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $.... 160.00'
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 259575
INDIANAPOLIS IN 46280 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 R4359003 32592 12605 160.00 PORTOPOT ART OF WINE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HOOSIER PORTABLE RESTROOMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2201 E 99TH ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46280 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$160.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
32592 12605 43-590.03 $160.00 1 hereby certify that the attached invoice(s),or 5/25/16 12605 $160.00
1203 Encumbered 101 1203 101
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
Wednesday,June 08,2016
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
of License #29-031/33/35
Invoice
HOSIER 22o1 E. 99th Street Date Invoice #
u i oa Indianapolis,IN4628o
5/25/2016 12605
Bill To: Customer Phone
317-571-2791
City of Carmel
Community Relations Department
One Civic Square Customer Alt. Phone
Carmel, IN 46032
201-2491
P.O. No. Terms Project
32592 Due upon receipt, please.
Item Service Dates Quantity ate A-Mourd_
Trash Box May 24,2016 32 5.00 160.00
OL b �c� �^ f�� X3959
Total $160.00
Office : (317) 844-6919 Payments/Credits $0.00
'mail.• hoosierportabtes@gmadcom Balance Due $160.00
-Website: 'w'w'w.hoosierportab[es.cor1,..