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HomeMy WebLinkAbout305650 11/28/16 i uf.E9q,M `/ �• CITY OF CARMEL, INDIANA VENDOR: 369794 ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $********47.33* ,. CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 305650 MiinN LOUISVILLE KY 40285-6680 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 16JO12004852 47.33 OTHER MISCELLANOUS Prescribed by State Board of Accounts City Form No.201 (Rev.1995) VOUCHER NO. WARRANT NO. READY REFRESH BY NESTLE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 856680 f IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LOUISVILLE, KY 40285-6680 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $47.33 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering 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 16JO120048525 42-390.99 $47.33 I hereby certify that the attached invoice(s),or 11/2116 16JO120048525 Water cooler $47.33 2200 201 2200 201 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, November 15,2016 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 r Rpady eservice.readyrefresh.com BILLING PERIOD INVOICE Refresh #215 6661 DIXIE HWY,SUITE 4 10/01/16-10/31/16 16JO120048525 LOUISVILLE KY 40258 AND OUENCN� �_ ADDRESS SERVICE REQUESTED UPC• • MON- NOV 07 0120048525 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII THE- DEC 08 TUE- JAN 10 .Access your delivery calendar , at eservice.readyrefresh:com CITY OF CARMEL DEPT OF ENGINEERING Customer Service: 1-800-274-5282 LISA SCOTT Did you forget about us? Kindly pay upon receipt. 1 CIVIC SQ Remember,past due accounts are subject to a late fee. CARMEL IN 46032-2584 Your prompt payment is appreciated.For your convenience,you can pay your bill online. If payment has been made,we thank you. IMPORTANT: Please be advised that the invoice for yournext delivery will reflect a price increase on select products and R Tt ent. Please call us ifwy'.ou haus any questions. IN 0 ACCOUNT ACTIVITY For questions ora report on water quality and information,call 1.800-274.5282 or visit eservice.readyrefresh.com. DATE REFERENCE# QTY DESCRIPTION AMOUNT Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY ENGINEERING DEPT,CARMEL IN 46032 PREVIOUS BALANCE 110.42 10/13 666708 PAYMENT-THANK YOU -51.27 10/07 1017872506 11 5 GAL ICE MOUNTAIN DIRK W/HANDLE 43.34 11 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 11 5 GALLON ICE MOUNTAIN DEPOSIT RETURN' ;LY j :w .00 10/31 J1285496 RENT3.99 TOTAL �,' ^�_�. 106.48 �. . = DECEIVED er`, ;C�' ;` NOV 2016 CARMEL CNIN ENGINEER JUST C'ICK AND QUENCH ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT Q/ Subject to terms on reverse side. 110.42 — 51.27 + 47.33 = 106.48