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