320203 01/04/18 r.[4A ._
��".."Mc. CITY OF CARMEL, INDIANA VENDOR: 369794..
?: CHECK AMOUNT: $`***....56.19
6 i` ONE CIVIC SQUARE READY
Box 856680 REFRESH BY NESTLE CHECK NUMBER: 320203
9 ;=q., CARMEL, INDIANA 46032 LOUISVILLE KY 40285-6680
t"tTON�°; CHECK DATE: 01104/18
DEPARTMENT_ ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350900 56.19 1760120095351
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 369794 Allowed 20 whom rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Ready Refresh by Nestle Payee
P.O. Box 856680
Louisville, KY 40285-6680 In Sum of$ 369794 Purchase Order#
Ready Refresh by Nestle Terms
$ 56.19 P.O.Box 856680 Date Due
Louisville,KY 40285-6680
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#or Invoice Invoice Description
Dept# INVOICE NO. ACCT#frlTLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 17LO120095351 4350900 $ 56.19 Board Members 12/16/17 17LO120095351 Drinking Water MO AO $ 56.19
I hereby certify that the attached invoice(s),or
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
$ 56.19 Total $ 56.19
December 27,2017
1 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
Cost distribution ledger classification if 'PAMPMhu-ju
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Tot�l ,Amount Due 56 7 9
LIST CLICK B" 'PREVIOUS BALANCE $61.37
AND QUENCH - - _ .
PAYMENT-/ADJUSTMENT $61.37
Account.Number: 0120095351 CURRENT ACTIVITY - $56.19
Invoice Number: 17L0120095351—') f
Deliveries From:"11%17/17`2 12/16/17
I ,PAY THIS AMOUNT - - $56:19,'?
Delivery Address: CARMEL CLAY-PARKS AND REC DEPT.
1411E116THST
CARMEL IN 46032 ; To pay your bill or for any questions visit us at
ReadyRefresh.c®m
Upcoming D-
I Or call 1-800-274-5282
WED- JAN 03 Access your delivery calendar at j-
FRI- FEB 02 ReadyRefresh.com
Date Ticket# Oty Description Amount
PREVIOUS BALANCE 61.37
;12/01 036292 PAYMENT-THANK YOU -61.37
1
112/04 1084824257 7 5 GAL ICE MOUNTAIN DRK W/HANDLE 36.26
BOTTLE DEPOSIT: 7 CHARGED, 7 CREDITED .00
1 12/16 1089416927 1 DELIVERY FEE 3.95'
L3577013 RENT DEC 18 2017 15.98
BY:
�8 X6.19
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