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HomeMy WebLinkAbout328228 07/31/18 (9, ) CITY OF CARMEL, INDIANA VENDOR: 369028 ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECKAMOUNT: $********10.00* CARMEL, INDIANA 46032 PO Box 98 CHECK NUMBER: 328228 ENON OH 45323 CHECK DATE: 07/31/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4355100 534653 .60 PROMOTIONAL FUNDS 1192 R4355100 101122 534653 9.40 COFFEE SERVICE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AQUA FALLS BOTTLED WATER IN SUM OF$ 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 $9.40 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 101122 534653 43-551.00 $9.40 1 hereby certify that the attached invoice(s),or 6/30/18 534653 June Monthly Fee-partial invoice,finishing PO $9.40 1192 Eircuinbered 101 1192 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, July 30,2018 Mike Hollibaugh Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AQUA FALLS BOTTLED WATER IN SUM OF$ 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 $0.60 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 534653 43-551.00 $0.60 1 hereby certify that the attached invoice(s),or 6/30/18 534653 June monthly fee-partial invoice,finishing PO $0.60 1192 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 Monday,July 30,2018 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 Aqua Falls Water Co. P.O. Box 98 Enon, OH 45323-0098 1-800-800-8124 Invoice 153453 Sat, Jun 30 2018, 09:25pm Driver: Richardson, Travi Rte-Day-Stop: W--0000 Account # H%l City Of Carmel Dept Comm Servi 1 Civic Square 3rd Floor / ATTN: LISA MOTZ Carmel, IN 46032 Item Qty Price Amount Monthly Jun M0126355 1 @ 10.00 10.00 Sales 10.00 Subtotal 10.00 Sales Tax 0.00 INVOICE TOTAL MH j Previous Balance 10.00 Account Balance . )4;60' D 60 days past due D u Thank You