301022 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 35 857
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $*`***1,880.00*
•,,\ ?� CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 301022
INDIA NAPouS IN 46280 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359037 12764 850.00 USCM ANNUAL MEETING 2
854 367008 12971 965.00 CRC FESTIVALS
1203 R4359003 32592 12971 65.00 PORTOPOT ART OF WINE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HOOSIER PORTABLE RESTROOMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2201 E 99TH ST IN SUM OF$ 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.
$850.00 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
12764 43-590.37 $850.00 1 hereby certify that the attached invoice(s),or 6/22/16 12764 $850.00
1203 854 1203 854
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,July 20,2016
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
License #29-031/33/35
Invoice
22o1 E. 99tH Street
HOOSIER"anapoCis,Iar4628o Date. Invoice #
6/22/2016 12764
Bill To: Customer Phone
City of Carmel 317-571-2791
Community Relations Department
One Civic Square
Carmel, IN 46032 Customer Alt. Phone
201-2491
P.O. No. Terms Project
e-mail/Megan Due upon receipt, plea�e. Mayors after party
Item Service D fes uanti Rate ACIIOU11t
Q_ tY
3 Stall Trailer 06/24/2016 1 1,600.00 1,600.00
Discount: - —750.00 75Q OQ`
Payments/Credits $0.00
Balance Due $850.00
Office: (317)844-6919
EmaiC- hoosier_portabtes@gmaiC.com
"Website: www.hoosier ortabterestrooms com �. DiSC VER;
M z �;�t
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
HOOSIER PORTABLE RESTROOMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2201 E 99TH ST IN SUM OF$ 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.
$965.00 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
12971 3-670.08 $965.00 1 hereby certify that the attached invoice(s),or 7/12/16 12971 $965.00
1203 854 1203 854
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge islaade_were-ordered_and
received except
Wednesday,July 20,2016
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
License#29-031/33/35 Invoice
HO SIER 2201 E. ggt/i Street Date Invoice #
,l = °. •. IndianapoCis,IN4628o
7/12/2016 12971
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
Due upon receipt,please. CRC Art of Wine '15
.Item .. Service Dnfiesniduiit
unnti Rate
Standard Units)Serviced -SE July 16,2016 2 65.00 130.00.
Portable Handwashing Unit svcd July 16,2016 1 50.00 50.00
LuxuryTrailer - 3stall 1 : 850.00 :' 850.00
It is a pleasure working with you! Tota
$1,030.00
Office : (317) 844-69'19 Payments/Credits $0.00
Ema& hoosierportables@gmadcom
Balance Due $1,030.00
-Website: www.hoosierportab[es.co
WS/Q
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
HOOSIER PORTABLE RESTROOMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2201 E 99TH ST IN SUM OF$ 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.
$65.00 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 12971 43-590.03 $65.00 1 hereby certify that the attached invoice(s),or 7/12/16 12971 $65.00
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,July 20,2016
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
invoice.
License #29-031/33/35
HOOSIER zz01 E. ggt`L Street Date Invoice #
IndtanapoC%s,IN4628o
7/12/2016 129.71 .
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.
D ;15.
ue:upon receipt,please: CRC Art Wine
.Item .. - .. :. . .. Service: Dotes QuantityArnbunt
Standard Units)Serviced -SE July.16,2016 2 65:00 130.00
Portable Handwashing Unit svcd. July 16.,2016. 1 50.00 . 50.00
Luxury Trailer 3'stall` 1 : ,- 850.00 , 850.00,
' Fu A
�1q5 0 OctVe5kvvct
It is a pleasure working with youl.:
Total $1,030.00
Office : 317)'844_69-19
Payments/Credits $0.00
Emair" 6ioosierporta6CesC amaiCC0M Bolance Due $1,030.00
-Website: WWW.hoosierporta6Ces:coyr
( r
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