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HomeMy WebLinkAbout326347 06/15/18 CITY OF CARMEL, INDIANA VENDOR: 369028 ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECK AMOUNT: $********10.00* CARMEL, INDIANA 46032 PO Box 98 CHECK NUMBER: 326347 yaTON ENON OH 45323 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 R4355100 101122 459973 10.00 COFFEE SERVICE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AQUA FALLS BOTTLED WATER IN SUM OF$ 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 $10.00 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 459973 43-551.00 $10.00 1 hereby certify that the attached invoice(s),or 5/31/18 459973 May Monthly Fee $10.00 1192 Encumbered 101 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 Tuesday,June 12,2018 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 119973 Thu, May 31 2018, 10:37pm Driver: Richardson, Travi Rte-Day-Stop: W--0000 Account # HH11 City Of Carmel Dept Comm Servi 1 Civic Square 3rd Floor / ATTN: LISA MOTZ Carmel, IN 46032 Item Qty Price Amount Monthly May M0126355 1 @ 10.00 10.00 Sales 10.00 Subtotal 10.00 Sales Tax 0.00 INVOICE TOTAL 1A Previous Balance 0.00 Account Balance HM 00 Thank You