The URL can be used to link to this page

Home My WebLink About321369 01/30/18 `'• CITY OF CARMEL, INDIANA VENDOR: 369028 ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $*****'*1 16.10* =q CARMEL, INDIANA 46032 PO Box 98 CHECK NUMBER: 321369 ENON OH 45323 CHECK DATE: 01/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4355100 34480 085345 10.00 COFFEE SERVICE 1192 R4355100 101122 996305 .70 COFFEE SERVICE 1192 R4355100 34480 996305 105.40 COFFEE SERVICE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995). Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AQUA FALLS BOTTLED WATER IN SUM OF$ CITY OF CARMEL PO BOX 98 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. ENON, OH 45323 Payee $115.40 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 34480 996305 43-551.00 $105.40 1 hereby certify that the attached invoice(s),or 11/22/17 996305 Partial payment on this invoice. Remainder $105.40 1192 Encumbered 101 Prior Year 1192 101 will be on another claim. 34480 085345 43-551.00 $10.00 bill(s)is(are)true and correct and that the 12/30/17 085345 Dec Monthly Service $10.00 1192 Encumbered 101 Prior Year materials or services itemized thereon for 1192 1 101 which charge is made were ordered and received except Thursday,January 25,2018 Mike Hollibaugh Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AQUA FALLS BOTTLED WATER IN SUM OF$ CITY OF CARMEL PO BOX 98 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. ENON, OH 45323 Payee $0.70 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 101122 996305 43-551.00 $0.70 1 hereby certify that the attached invoice(s),or 11/22/17 996305 Remainder of this invoice from PO 34480. $0.70 1192 Encuinbered 101 Prior Year 1192 101 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 Thursday, January 25, 2018 Mike Hollibaugh Director 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 INVOICE Aqua Falls Bottled Water Date 11/22/2017 P.O. Box 98 Invoice#996305 Enon OH 45323-0098 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 Bill To Ship To City Of Carmel Dept Comm Servi City Of Carmel Dept Comm Servi 1 Civic Square 1 Civic Square 3rd Floor/ATTN: Lisa Motz 3rd Floor/ATTN: LISA MOTZ Carmel IN 46032 Carmel IN 46032 Acct. No.055041 Description Qty Price Charge Payment Balance K-Cup Donut Shop 2@ 13.45 26.90 26.90 kcup Pumpkin Spice 1@ 12.45 12.45 12.45 Kcup Dunkin Donuts 24ct 2@ 13.95 27.90 27.90 K cup Holiday Blend 2@ 12.95 25.90 25.90 K cup Folgers Caramel Drizzel 1@ 12.95 12.95 Invoice Total 106.10 Balance Forward .50 Received by: ACCT. BALANCE 277.60 X iD5e �V, -PD 3L+ o - U D )(1 � D � ri D INVOICE Aqua Falls Bottled Water Date 12/30/2017 P.O.Box 98 Invoice#085345 Enon OH 45323-0098 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 Bill To Ship To City Of Carmel Dept Comm Servi City Of Carmel Dept Comm Servi 1 Civic Square 1 Civic Square 3rd Floor/ATTN: Lisa Motz 3rd Floor/ATTN: LISA MOTZ Carmel IN 46032 Carmel, IN 46032 Acct. No.055041 Description Qty Price Charge Payment Balance Monthly Dec 1@ 10.00 10.00 10.00 M0126355 Invoice Total 10.00 Received by: Balance Forward ACCT. BALANCE 116.10 X