HomeMy WebLinkAbout301614 08/08/16 j'�'"'F. CITY OF CARMEL, INDIANA VENDOR: 369028
® "� ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $********10.00*
9� ,?Q; CARMEL, INDIANA 46032 PO BOX se CHECK NUMBER: 301614
�'��roN�° ENON OH 45323 CHECK DATE: 08/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 874852 10.00 OTHER RENTAL & LEASES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
AQUA FALLS BOTTLED WATER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 98 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ENON, OH 45323 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$10.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
874852 43-530,99 $10.00 1 hereby certify that the attached invoice(s),or 8/1/16 874852 $10.00
1192 101 1192 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
Tuesday,August 02,2016
Mike Hollibaugh
Director
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
AQUA FALLS BOTTLED WATER
P.O. Box 98 Date:07131/2016 Invoice#874852
Enon OH 45323
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
Monthly Jul-M0052375 1 Q 10.00 10.00
Invoice Total : 10.00
Previous Balance: -96.80
Acct Balance : -86.80
-------------------------------PleaseRetu r This Portion With Payment----------------------------
�
City Of Carmel Dept Comm Servi Payment Voucher
1 Civic Square
Carmel IN 46032 Account# Invoice# Invoice Date
055041 874852 07/31/2016
Due Date
AQUA FALLS BOTTLED WATER Upon Receipt
P.O. Box 98 Invoice Total Amount Paid
Enon OH 45323 10.00