HomeMy WebLinkAbout304621 10/31/16 y ul.4Qgy
CITY OF CARMEL, INDIANA VENDOR: 354857
i` ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $`*"`**400.00*
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 304621
y��oN INDIANAPOLIS IN 46280 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 13393 400.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
HOOSIER PORTABLE RESTROOMS INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2201 E 99TH ST IN SUM OF$ 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.
$400.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
13393 50-239.90 $400.00 1 hereby certify that the attached invoice(s),or 10/11/16 13393 $400.00
1120 851 1120 851
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
Thursday, October 13, 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 22o1 E. 99th Street Date Invoice#
IndianapoCis,IN4628o
9/16/2016 13393
Bill To: Customer Phone
317-409-3538
Carmel Fire Department
Keith Freer
2 Civic Square Customer Alt. Phone
Carmel,IN 46032
P.O. No. Terms Project
Verbal/Tim Due upon receipt, please. Carmel Safety Days
Item Service Dates Quantity Rate AMOUnt
Standard Unit(s)Serviced - SE September 17,2016 4 50.00 200.00
Portable Handwashing Station St Vincent Hospital North 4 50.00 200.00
It is a pleasure working with you!
Total $400.00
Office : (317) 844-6919 Payments/Credits $0.00
EmaiC: hoosierporta6Ces@gmaiC.com Balance Due $400.00
Website: www.hoosierporta6Ces.con,I.-, o�covFa