HomeMy WebLinkAbout319334 12/05/17 (14/r_C4N�R!
CITY OF CARMEL, INDIANA VENDOR: 369794
d ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: $**'*****28.17*
CARMEL, INDIANA 46032 PO BOX 856680 CHECK NUMBER: 319334
yiTON. LOUISVILLE KY 40285-6680 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
506 4239099 28.17 07KO125805523
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369794 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
READY REFRESH BY NESTLE IN SUM OF$ CITY OF CARMEL
PO BOX 856680 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
LOUISVILLE, KY 40285-6680
Payee
$28.17
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel City Court 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
07KO125805523 42-390.99 $28.17 1 hereby certify that the attached invoice(s),or 11/27/17 07KO125805523 Water abd Cooler Rental $28.17
1301 506 1301 506
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made w re ordered and
received xcep
i
Monday, December 04,2017
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
g(jady ReadyRefresh.com BILLING PERIOD INVOICE NU MBER
Refresh- #215 6661 DIXIE HWY,SUITE 4 10/25/17-11/24/17 07KO125806523
LOUISVILLE KY 40258
ANO O.E..M:
ADDRESS SERVICE REQUESTED UPCOMING DELIVERIES ACCOUNTNUMBER
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II" I I I I I I I I I II I ISI MON- DEC 11 0125805523
THU- JAN 11
MON- FEB 12. Access your.delivery calendar.
WED-' MAR •14 at ReadyRefresh.com
CITY OF CARMEL CITY COURT Customer Service:1-800-274-5282
DIANE APPELGET For your convenience,you can pay your bill online.It's
1 CIVIC SQ fast and easy)
CARMEL IN 46032-2584
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ACCOUNT ACTIVITY For questions or a report on water quality and information,call 1-800-274-5282 or visit ReadyRefresh.com.
DATE REFERENCE# QTY DESCRIPTION
Delivery address: CITY OF CARMEL,1 CIVIC SQ, CITY COURT,CARMEL IN 46032
PREVIOUS BALANCE -21.26
11/08 1081089326 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE 19.95
4 9 OZ PLASTIC CUP 50C/SLV 13.16
BOTTLE DEPOSIT: 5 CHARGED, 4 CREDITED 6.00
11/24 1085771572 1 DELIVERY FEE Ir 3.95
K3421180 RENT 4.99
SALES TAX �� - ' RECEIVED 1.38
TOTAL _ 217 28.17
DEC - I
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ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT/ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT
Q/ Subiect to terms on reverse side. -21.26 — 0.00 -1- 49.43 = 28.17