HomeMy WebLinkAbout302842 09/12/16 4%'.�`,��� CITY OF CARMEL, INDIANA VENDOR: 369028
{ ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $********47.65*
`'' 'o PO BOX 98 CHECK NUMBER: 302842
:•. _ CARMEL, INDIANA 46032
'+r... ,.•' ENON OH 45323 CHECK DATE: 09/12/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4350900 31606 545545 47.65 COFFEE SERVICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Foran No.201(Rev.1995)
AQUA FALLS BOTTLED WATER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 98 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property 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.
$47.65 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
31606 545545 43-509.00 $47.65 1 hereby certify that the attached invoice(s),or 9/1/16 545545 $47.65
1192 Encumbered 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
Friday, September 02,2016
Mike Hollibaugh
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and t 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 Date: 08/11/2016 Invoice#545545
P.O. Box 98
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
K cup Jamaica Me C 1 @ 12.95 12.95
K cup Emerils Big 2 @ 12.95 25.90
K cup Folgers Live 2 @ 12.95 25.90
K cup Maxwell Orig 2 @ 12.95 25.90
kcup English Brea 2 @ 12.95 25.90
SPLENDA 2 @ 8.95 17.90
Invoice Total : 134.45
Previous Balance: -86.80
Acct Balance : 47.65