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320280 01/04/18
D CITY OF CARMEL, INDIANA VENDOR: 369794ONE CIVIC SQUARE READY REFRESH BY NESTLE CHECK AMOUNT: S 38.80* CARMEL, INDIANA 46032 LPO O BOX 85668040285-6680 CHECK NUMBER: 320280 CHECK DATE: 01/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4239099 07LO12580552 38.80 07LO125805523 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 $38.80 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 07LO125805523 42-390.99 $38.80 1 hereby certify that the attached invoice(s),or 12/27/17 07LO125805523 Water and Cooler Rental $38.80 x1301 506 Prior Year1301 506 bill(s)is(are)true and correct and that the materials or services itemized ther n for which charge is a were red a d received ex ept Wednesday,January 03,2018 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 FQady Totral P9t� nt Due 3 ' . ' © _f R_efregh. by 41/15/1 JUST CLIC ar PREVIOUS BALANCE AND QUENCH - PAYMENT l ADJUSTMENT -'-$28.17 Account Number: 0125805523 CURRENT ACTIVITY` ;138.80 Invoice Number: 07LO125805523 Deliveries From: 11/25/17-12124/17 PAY°THIS AMOUNT $38.80 Billing Date: 12/27/17 Delivery Address: CITY OF CARMEL 1 CIVIC SQ u CITY COURT To our blIl,zorefor any�questions visit us at CARMEL,IN 46032 Re ,, y' Reftesh.com Upcoming D- or calf 1'-800-274=5282, ` WED- JAN 10 Access your delivery calendar at FRI- FEB 09 ReadyRefresh.com Date Ticket# Qty Description Amount 28.17' 12/24 176478 PAYMENT THANK YOU -28.17, 12112`" 1086089982"i" 5 5 GAL ICE MOUNTAIN DIRK W/HANDLE ., °` 19.95, 1 9 OZ,PLASTIC CUP:50C/SLV BOTTLE DEPOSIT Z CHARGED, 4 CREDITED, 6.00:' 12/24 ;,X1090727171, 1 DELIVERYFEE 3.95,; L3583327 RENT .: 4.99" SALES TAX 62 Zq � I $38.80 News for You As a valued ReadyRefresh customer, we are pleased to let you know that starting in January we'll be featuring special offers, courtesy of our Friends, for you to enjoy. You'll find these offers — - - _ inside your ReadyReflresh statements. - -- - _ Detach below stub and return with your payment Page 1 of 1