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CITY OF CARMEL, INDIANA VENDOR: 369028'ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECKAMOUNT: $••*..8.148.60•CARMEL, INDIANA 46032 PO Box 98• CHECK NUMBER: 322638
ENON OH 45323 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4355100 101122 159488 138.60 COFFEE SERVICE
1192 R4355100 101122 231574 10.00 COFFEE SERVICE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AQUA FALLS BOTTLED WATER IN SUM OF$ 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
$148.60
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 159488 43-551.00 $138.60 1 hereby certify that the attached invoice(s),or 1/31/18 159488 Jan Monthly Fee plus 8 boxes of coffee $138.60
1192 Encumbered 101 1192 101
101122 231574 43-551.00 $10.00 bill(s)is(are)true and correct and that the 2/28/18 231574 Feb Monthly Fee $10.00
1192 Encumbered 101 materials or services itemized thereon for 1192 101
which charge is made were ordered and
received except
Thursday, March 08,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Aqua Falls Water Co.
P.O. Box 98
Enon, OH 45323-0098
1-800-800-8124
Invoice 1231371
Wed, Feb 28 2018, 09:41pm
Driver: Richardson, Travi
Rte-Day-Stop: W--
Account # HH11
City Of Carmel Dept Comm Servi
1 Civic Square
3rd Floor / ATTN: LISA MOTZ
Carmel, IN 46032
Ite Qty Price Amount
Monthly Feb
M0126355 1 @ 10.00 10.00
Sales 10.00
Subtotal 10.00
Sales Tax
INVOICE TOTAL10,00
Previous Balance 138.60 _
Account Balance 198.60
Thank You
Aqua Falls Water Co.
P.O. Box 98
Enon, OH 45323-0098
1-800-800-8124
Invoice # 1531H
Wed, Jan 31 2018, 03:45pm
Driver: Richardson, Travi
Rte-Day-Stop: W--
Account 16911
City Of Carmel Dept Comm Servi
1 Civic Square
3rd Floor / ATTN: LISA MOTZ
Carmel IN 46032
Item Qty Price Amount
. � kcup Barnies Blend 2 @ 13.95 27.90
Tim Hortons Variety 2 @ 23.95 47.90
\ Kcup
K-CUP DARK MAGIC 2 @ 13.45 26.90
K cup Folgers Caramel 2 @ 12.95 25.90
Drizzel
�1. Monthly Jan
M0126355 1 @ 10.00 10.00
Sales 138.60
Subtotal 138.60
Sales Tax 0
INVOICE TOTAL 138,60
Previous Balance 116.10
Account Balance 254,10
60 days past due
Next Delivery: 02/14/2018
Thank You
for services delivered to: INVOICE .
CITY OF CARMEL DEPT COMM:SERVI
1 CIVIC SQUARE ` Date: February 28, 2018
3RD FLOOR/ATTN: LISA MOTZ Invoice#231574
CARMEL, IN 46032
Account#55041
Description Qty Unit Price Taxable Amount
Monthly Equipment Rental 1 $10.00 N $10.00
Bottle Deposit (Sold , Returned 0)
Tax $0.00
Invoice Total: $10.00
Previous Balance: $138.60
Payments Received: $0.00
Acct Balance: $148.60