164278 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
0 ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC
CARMEL, INDIANA 46032 2201 E 99TH ST CHECK AMOUNT: $580.00
INDIANAPOLIS IN 46280 CHECK NUMBER.: 164278
CHECK DATE: 9/30/2008
DEPARTMEN ACCOUNT PO NUMBE INVOICE NUMB AM OUN T D ESC RI PTION
902 4359003 2417 580.00 FES'T'IVAL /COMMUNITY EV
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.Ifoosier ftnabfe Restrooms, Inc. Invoic
License 429- 031/33/35
2201 T. 99th Street Date Invoice
Indianapolis, IN 46280
9 /II /2008 2417
Bill To Customer Phone Customer Fax
Carmel Redelopment Commission 317 -571 -2791
Megan McV icker
One Civic Square
Carmel, IN 46032
Project P.O. No. Terms
Rock the District Verbal /Megan Due on receipt, please.
Item Service Dates Quantity Rate Amount
Standard Unit(s) Serviced SF July 18, 2008 5 65.00 325.00
EAU Unit(s) Serviced S13 same 1 130.00 130.110
Portable Handwashing Station same 1 65.00 65.00
Standard Unit(s) Serviced SE same 3 20.00 60.00
Portable I landwashing Station same 1 0.00 0.00
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Total $581.00
Our Phone Our Fax
(3 17) 844-6919 {317) 844 -8803
Pres,lbed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
r, Payee
US 1 cj /YUyJ fl� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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y
C'%
Total 06
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in arc` rdance
with IC 5- 11- 10 -1.6..
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
h ALLOWED 20
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IN SUM OF
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund