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304939 11/09/16
iii�'CggMf CITY OF CARMEL, INDIANA VENDOR: 354857 ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: S.....**400.00* CARMEL, INDIANA 46032 2201 E 99TH ST CHECK NUMBER: 304939 INDIANAPOLIS IN 46280 CHECK DATE: 11/09/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350400 39792 13568 200.00 PORTALET 2016 1125 4350400 39792 13569 200.00 PORTALET 2016 Voucher No. Warrant No. 354857 Hoosier Portable Restrooms, Inc. Allowed 20 2201 E. 99th Street Indianapolis, IN 46280 In Sum of$ $ 400.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 39792 135.68 4350400 $ 200.00 1 hereby certify that the attached invoice(s), or 39792 13569 4350400 $ 200.00 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 November 4, 2016 PAMPYYIJ� Signature $ 400.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund � ,Rz �� Invoke License #29-031/33/35 22"firg9t�iStr'eMet i i ; y- 1ni urns 20t, N4628i Bill To: Customer Phone Carmel Clay Parks Department 573-4026 Attn: Dawn Koepper 1411 E 116th St Carmel,IN 46032 Customer Alt. Phone P.O. No. Terms Project 39792 Due upon receipt,please. Hazel Landing Park Item ;Service Dotes Week."-- Weekly Rate Amount (1)EAU Serviced 09/05/2016-10/16/2016 5 40.00 200.00_ - 10601 Hazel Del'I:Pk►N = Y OWN Final Bi II for this project. Thank you! n4_, Balance Que X200©o _ Office: (317) 844-6919 Ema& hoosierporta6les@gmaiC.com www.hoosieryorta6Ces.com (� ' 7�; ° `NER Ir° terdl CEIV =D Invoice License #29_03?/_33/_35 44 _ n i22oi E. ggth_Street OCT 2 8 2016 ,Date Invoice SI Indiana obis IN 6280 ' ' " - �'' 10/18/_201613569 Bill To: Customer Phone Carmel Clay Parks Department 573-4026 Attn: Dawn Koepper 1411 E 116th St Carmel,IN 46032 Customer Alt. Phone P.O. No. Terms Project 39792 Due upon receipt, please. Meadow Lark Park Item Service Dates Weeks Weekly Rate Amount (1)EAU Serviced 09/05/2016-10/16/2016 5 40.00 200.00 Final Bill for this project. Thank you! fi P J Y B-Inr rice, -Due r 3 $aoo 00 L Office: (317) 844-6919 Ema& hoosierporta6Ces@gmad com www.hoosieryortabCes.com !'� � 5C i'4 iDISC,VER 1