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HomeMy WebLinkAbout168516 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1 ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CARMEL, INDIANA 46032 2201 E 99TH ST CHECK AMOUNT: $300.00 INDIANAPOLIS IN 46280 CHECK NUMBER: 168516 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 2729 300.00 OTHER EXPENSES q, JM 21 -2009 12:22 AM P. 1 ,f'oosier q?gstrooms, Inc. Inv ICE) License #29 -031/33/35 Invoice 2201 E. 99tH Street Cete i# Indianapolis, IN 46280 1/18/2009 2729 _J Bill To Customer Phone Customer Fax Carmel Firc Dcpartment 317- 409.3538 317- 571 -2615 Keith Freer Givic Syuarc Carmel, 1�1 X6032 Project P.O. No. r Terms Y 9;:2(> U8 Public Saicn Day Due on receipt. please. i -s Item Service Dates Quantity Rate I Imo +ar',t Standard Unit(s) Serviced SE? Special Community 4 50.00 200,00 non- profit rase Forwblo Eiandwashina Suriion Special Community 2 SU.00 00.00 non profit rate Trash Bop 8 2.50 29.00, Discount Community Discount, No charge 2ti.00 -2.8.00 for trashboxes 1 I I i I i �1 ©L q S3U0.00.._.� —i— Our Phone Our Fax (s 1 7) 844 -691 r) (31 7) 844.8803 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 note attached invoice(s) or bill(s)) v Total 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR 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 FEB p 2 2009 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund