HomeMy WebLinkAbout202592 10/11/2011 a CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC
3, CHECK AMOUNT: $495.00
CARMEL, INDIANA 46032 2201E 99TH ST
o� INDIANAPOLIS IN 46280 CHECK NUMBER: 202592
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 4935 300.00 OTHER EXPENSES
1096 4239039 5182 195.00 GENERAL PROGRAM SUPPL
,luosierTorta6Ce Restrooms, Inc. I
License #29- 031/33/35
2201 E. 99th Street Date invoice
Indianapolis, IN 46280
9/8/20 5182
Bill To Customer Phone Customer Fax
Carmel Parks Department 317 -848 -7275 317 -573 -5254
Sarah Carling
1235 Central Park Drive East
Carmel, IN 46032
Project P.O. No. Terms
`four De Carmel Due upon receipt, please.
Item Service Dates Quantity Rate Amount
Standard Unit(s) Serviced SE September 10, 2011 3 65.00 195.00
Purchase 1' L L
Description
P.O.0 Poe
(3.L I O Z
Bud et
Line
Purch
App a /f
pti
SEP
It is a pleasure working with you! Total
$195.00
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
918111 5182 Port a Pots for Tour de Carmel 195.00
Total 195.00
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
195.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #f AMOUNT Board Members
Dept
1096 -60 5182 4239039 195.00 1 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
6 -Oct 2011
2
Signature
195.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1-100SI,er 011476re 1lestroonls, .[11C. Invoice
1 E, 9911 Strcct Date Invoice
Indlan,illolis. IN 462.1.M
Bill TO Customer Phone Custarner Fax
Cilrmcl l'in.-
409 5;5 3 17-571-2(1 1i
Civil: Symic
Otntwl, IN 46032
Project P.O. No. Terms
9,' I C-III mel I)LIC oil receipt. please.
f T Service Dales Quantity Rate AmOLIM
icc,l 17/11 Spucial Col-miltwit"
50,00 00.00
noll-profit rate
ioll 50 100.00
V: is i n1casure wnrkiiig wi0i ot
Total $300.00
Our Phone Our Fax
8441. 69 19 7) 1�4,1
VOUCHER NO. WARRAN NO.
ALLOWED 20
Hoosier Portable Restrooms
IN SUM OF
2201 E. 99th Street
Indianapolis, IN 46280
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 I 4935 1 120 851.00 I $300.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or not attac invoice(s) or bill(s))
4935 $300.00
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