HOOSIER PORTABLE RESTROOMS, IN- 003163- 9/20/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 3 1 6 3
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Hoosier Portable Restrooms, In Check: 3163
2201 E 99th St Date: 9/20/2012
Indianapolis, IN 46280 Vendor: HOOSIE1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
6350 810.00 810.00 0.00 0.00 810.00
portable rest rooms
810.00 810.00 0.00 0.00 810.00
',. THuvi,TO`DOe ME irsEcuRITY HEAT CTIVATEDW T,HUMB;PRINTOADDITIONA ECURikjFEATURE ;NCLUDED SEE BACK,E9R DETAILS `
op�s,6 o,e, Carmel Redevelopment Commission REGIONS 003163
30 West Main Street
a Suite 220 zo-1azlnao
CMEL
ci- ?R -_/Carmel, IN 46032
3163
DATE AMOUNT
9/20/2012 810.00
PAY
THE SUM OF EIGHT HUNDRED TEN DOLLARS AND NO CENTS *****************************************
TO THE
ORDER
OF Hoosier Portable Restrooms, In
2201 E 99th St
Indianapolis, IN 46280 r�,SENgr
9 O.6
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CARMEL REDEVELOPMENT COMMISSION 003163
Hoosier Portable Restrooms, In Check: 3163
2201 E 99th St Date: 9/20/2012
Indianapolis, IN 46280 Vendor: HOOSIE1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
6350 810.00 810.00 0.00 0.00 810.00
portable rest rooms
810.00 810.00 0.00 0.00 810.00
X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 (121,
P6Ytzt' L-
n S41roo'nns
Hoosier Portable Restrooms, cRe Invoice
License #29-031/33/35 014-c,yyj°lO1L'
2201 E. 99th Street Date Invoice#
Indianapolis, IN 46280 8/23/2012 6350
Bill To Customer Phone Customer Fax
Carmel Redevelopment Commission 317-571-2791
Megan McVicker
30 W Main St,Suite 220
Carmel,IN 46032
Project P.O. No. Terms
CRC Artmobilia Due upon receipt,please.
Item Service Dates Quantity Rate Amount
Standard Unit(s)Serviced-SE August 25,2012 7 65.00 455.00
Portable Handwashine Unit svcd 2 50.00 100.00
EAU Unit(s)Serviced-SE 1 130.00 130.00
Trash Box 25 5.00 125.00
\cJI
It is a pleasure working with you!
Total $810.00
Our Phone# Our Fax#
(317)844-6919 (317)844-6919
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
/1-/O"' P ," 4 r7q, 0 Purchase Order No.
22o/ E, 5'9 57L Terms
//),//4 /,'), /X9 2-7/ ,F6 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8"(23 2 5 6r444, f-W-Y." c;/U.DD
Total ,CEO
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
Q-1�C , 2017
- reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
% -7--A j Rio /�^'STyoo�yyS
221- /= 9 9 5' IN SUM OF $
•
$ S/C) Gtr •
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
got 6 35 br3S3'6'3 5-/o C-1%' 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
9-/2 20� '
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund