HomeMy WebLinkAbout194222 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $190.00
CARMEL, INDIANA 46032 2201 E 99TH ST
.oN io INDIANAPOLIS IN 46280 CHECK NUMBER: 194222
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 4320 190.00 GENERAL PROGRAM SUPPL
-n cosier Portable Restrooms, Inc. I
License #29- 031/33/35 DEC 2,010
2201 E. 99th Street Date Invoice
Indianapolis, IN 46280 12/16/2010 4320
Bill To Customer Phone Customer Fax
Carmel Parks Department 317 -848 -7275 317- 573 -5254
Attn: Kim /Tour do Carmel
1235 Central Park Drive East
Carmel, IN 46032
Project P.O. No. Terms
Four de Carmel Verbal Kim Due on receipt, please.
Item Service Dates Quantity Rate Amount
Standard Unit(s) Serviced SF September 11. 2010 3 65.00 195.00
EAU Unit(s) Serviced SE 3 locations 1 130.00 130.00
Portable Handwashing Station No Charge, trash box included 4 0.00 0.00
Discount special Community rate 135.00 135.00
Pu chase
P.O.
0 g et 'AN I 1 2011
UF le, Desar
Pt rchas ate I.S.l1 F .r
proval Date
"Thank you for your business.
Total $190.00
Our Phone Our Fax
(317) 844 -6919 (317)844 -8803
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No.
354857 Hoosier Portable Restrooms, Inc. Terms
2201 E. 99th Street
Indianapolis, iN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/16/10 4320 TDC Restrooms 190.00
Total 190.00
1 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_
Clerk Treasurer
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, iN 46280
In Sum of
190.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -60 4320 4239039 190.00 I hereby certify that the attached invoice(s), or
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
27 -Jan 2011
Signature
190.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund