221551 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC CHECK AMOUNT: $65.00
CARMEL, INDIANA 46032 2201 E 99TH ST
oN.�a INDIANAPOLIS IN 46280 CHECK NUMBER: 221551
CHECK DATE: 7/212013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 7444 65 . 00 GENERAL PROGRAM SUPPL
i
Hoosier Portable Restrooms Invoice
License #29-031/33/35
2201 E. 99th Street Date Invoice#
Indianapolis, IN 46280
(317) 844-6919 5/28/2013 7444
Bill To: Customer Phone
Carmel Clay Parks Department 573-4026
Attn: Dawn Koepper
1411 E 116th St
Carmel,IN 46032
Project P.O. No. Terms
i River.Heritage Dark
Due upon receipt,please.
Item Service Dates Quantity Rate Amount
Standard Unit(s)Serviced-... June 7,2013 1 65.00 65.00
Po r fi�le res-�mv-vi Ca►m ou+-
Mc oCoy IS2�f)
109Co -(�)0- 4239Qa9
It is a pleasure working with you!
Total $65.00
hoosierportaUes.com (317) 844-6919 hoosierportables @gmail.com
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show, kind d of serfice,units, ere performed, dcates service rendered, by
whom, rates per day, number of hours, rate N
Payee Purchase Order No.
Terms
354857 Hoosier Portable Restrooms, Inc.
2201 E. 99th Street
Indianapolis, iN 46280
Invoice Invoice
Description PO# Amount
Date Number (or note attached invoice(s)or bill(s)) $ 65.00
5/28/13 7444 Portable restroom campout
i
Total $ 65.00
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
,~ Indianapolis, iN 46280
In Sum of$
s' $ 65.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
X.., Dept#
1096-60 7444 4239039 $ 65.00 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
F,'V,ptr
which charge is made were ordered and
V .
` -Vii._o •
,�y�• ;;f. received except
20-Jun 2013
Signature
$ 65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund