HomeMy WebLinkAbout218945 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366244 Page 1 of 1
ONE CIVIC SQUARE MEDASSURE
CARMEL, INDIANA 46032 1013 S GIRLS SCHOOL ROAD CHECK AMOUNT: $175.00
INDIANAPOLIS IN 46231 CHECK NUMBER: 218945
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 147004 175 . 00 OTHER EXPENSES
—�_ MedAssure CUSTOMER NO
MEDAsSURE 1013 S.Girls School Road
Indianapolis, IN 46231 000240
A SAFE AND CLEAN SOLUTION FOR YOUR MEDICAL WASTE STREAM (317)635-8000 INVOICE DATE
10/31/2012
INVOICE NO
0000147004
BILLTO: SERVICE ADDRESS:
Carmel Household Hazardous Waste 901 N Range Line Rd
901 N Range Line Rd Carmel, IN 46032
Carmel, IN 46032
TERMS DUE DATE SALES REP
SERVICE DATE Net 15 Days 11/15/2012
DESCRIPTION QUANTITY UNIT PRICE AMOUNT
001 -Carmel Household Hazardous-901 N Range Line Rd
10/25/12 31 Gallon Mixed Waste Per Container 7.00 25.00 175.00
CURRENT 30 DAYS 60 DAYS 90 DAYS OVER 90 DAYS
AMOUNT DUE $175.00
175.00 0.00 0.00 0.00 0.00
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VOUCHER # 135275 WARRANT # ALLOWED
366244 IN SUM OF $
MEDASSURE
1013 S GIRLS SCHOOL ROAD
INDIANAPOLIS, IN 46231
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
147004 01-736H-08 $175.00
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Voucher Total $175.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
366244
MEDASSURE Purchase Order No.
1013 S GIRLS SCHOOL ROAD Terms
INDIANAPOLIS, IN 46231 Due Date 4/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/2013 147004 $175.00
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
Date Officer