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222996 08/13/2013 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: $1,505.00 _ INDIANAPOLIS IN 46280 CHECK NUMBER: 222996 «OM� CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 26834 7768 1, 155 . 00 PORTOLET A&DD EVENTS 1120 4353099 7787 350 . 00 OTHER RENTAL & LEASES Hoosier Portable Restrooms Invoice License #29-031/33/35 2201 E. 99th Street Date Invoice# Indianapolis, IN 46280 (317) 844-6919 7i19i2o13 776s Bill To: Customer Phone Carmel Redevelopment Commission 317-571-2791 Megan McVicker 30 W Main St, Suite 220 Carmel, IN 46032 PiUj°Ci -- - -P.O. No.. CRC Art of Wine 2(o$3y Due upon receipt,please. Item Service Dates Quantity Rate Amount Standard Unit(s)Serviced- ... July 14,2012 2 65.00 130.00 Portable Handwashing Unit ... 1 50.00 50.00 Trash Box 25 5.00 125.00 Luxury Trailer 3 stall 1 850.00 850.00 It is a pleasure working with you! Total $1,155.00 hoosierportables.com (3 17) 844-6919 hoosierportables @gmail.com VOUCHER NO. WARRANT NO. ALLOWED 20 Hoosier Portable Restrooms IN SUM OF $ 2201 E. 99th Street Indianapolis, IN 46280 $1,155.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26834 I 7768 I 43-590.03 I $1,155.00 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 Sunday,August 11, 2013 Director, Community Relations/Economic Development 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 note attached invoice(s)or bill(s)) 07/19/13 7768 $1,155.00 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 Hoosier Portable Restrooms Invoice License #29-031/33/35 2201 E. 99th Street Date Invoice# Indianapolis, IN 46280 7/26/2013 7787 (317) 844-6919 Bill To: Customer Phone Carmel Fire Department 317-409-3538 Keith Freer 2 Civic Square Carmel,IN 46032 P.v:-No. - Terms -- — Firefighter for a Day Due upon receipt,please. Item Service Dates Quantity Rate Amount Standard Unit(s) Serviced- ... July 23,2013 4 50.00 200.00 Portable Handwashing Stati... Forest Dale Elementary 3 50.00 150.00 Trash Box recycled 6 0.00 0.00 It is a pleasure working with you! ,rota $350.00 hoosierportables.com (3 17) 844-6919 hoosierportables @gmail.com VOUCHER NO. WARRANT NO. ALLOWED 20 Hoosier Portable Restrooms IN SUM OF $ 2201 E. 99th Street Indianapolis, IN 46280 $350.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 7787 I 43-530.99 I $350.00 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 >4LIG 12 2013 .9 I Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 3rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by ✓vhom, 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)) 7787 $350.00 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