334512 01/18/19 a c�„
CITY OF CARMEL, INDIANA VENDOR: 369028
ONE CIVIC SQUARE AQUA FALLS BOTTLED WATER CHECKAMOUNT: $********40.00*
CARMEL, INDIANA 46032 PO BOX 98 CHECK NUMBER: 334512
ENON OH 45323 CHECK DATE: 01/18/19
i
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4230200 102210 99GOG4 10.00 KEURIG MONTHLY LEASE
1110 4355100 99G182 30.00 PROMOTIONAL FUNDS
i
VOUCHER NO. WARRANT NO. Prescribed by State.Board of Accounts City Form No.201(Rev.1995)
Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AQUA FALLS BOTTLED WATER IN SUM OF$ 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
- -- --- - $30.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
996182 43-551.00 $30.00 1 hereby certify that the attached invoice(s),or 1/8/19 996182 monthly payment $30.00
1110 101 1110 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,January 9,2019
&-'� ES'4�
Jim Barlow
Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Aqua Falls Bottled Water Date 12/31/2018
P. O. Box 98 Invoice#996182
Enon OH 45323-0098
Direct all inquiries regarding this invoice to our accounting department at
937-864-5495
Bill To Ship To
Carmel Police Dept Carmel Police Dept
3 Civic Square 3 Civic Square
Attn:Acts Payable Carmel, IN 46032
Carmel IN 46032
Acct. No.055626
Description Qty Price Charge Payment Balance
Monthly Dec 1@ 10.00 10.00 10.00
M0124062
Monthly Dec 1@ 10.00 10.00 10.00
M0127013
Monthly Dec 1@ 10.00 10.00 10.00
M0179899
Invoice Total 30.00
Balance Forward 0.00
Received by:
ACCT. BALANCE 30.00
x
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 369028 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
AQUA FALLS BOTTLED WATER IN SUM OF$ 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
102210 996064 42-302.00 $10.00 1 hereby certify that the attached invoice(s),or 12/31/18 996064 Monthly Dec $10.00
1192 Encumbered 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 10,2019
Mike Hollibaugh
Director
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 # 9HOR
Mon, Dec 31 2018, 08:45pm
Driver: Richardson, Travi
Rte-Day-Stop: W--0000
Account # H911
City Of Carmel Dept Comm Servi
1 Civic Square
3rd Floor / ATTN: LISA MOTZ
Carmel, IN 46032
Item Qty Price Amount
Monthly Dec
M0126355 1 @ 10.00 10.00
Sales 10.00
Subtotal 10.00
Sales Tax 0.00
INVOICE TOTAL 10,00
Previous Balance 0.00
Account Balance 10,00
Thank You
i