226699 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC
0 CHECK AMOUNT: $260.00
CARMEL, INDIANA 46032 2201E 99TH ST
ti<io�`o INDIANAPOLIS IN 46280 CHECK NUMBER: 226699
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 8129 195 . 00 GENERAL PROGRAM SUPPL
1096 4239039 8224 65 . 00 GENERAL PROGRAM SUPPL
Hoosier Portable Restrooms Invoice
License #29-031/33/35
2201 E. 99th Street Date Invoice#
Indianapolis, IN 46280 11/5/2013 8129
(317) 844-6919
Bill To: Customer Phone
Carmel Parks Department 317-848-7275
'➢ `F—r'T T
1235 Central Park Drive East N 9 2013
Carmel,IN 46032
u:L`
----- .-
Project P.O. No. Terms
i ciui' ��Cartriei 2v I'3 —Due upon receipt,please.
Item Service Dates Quantity Rate Amount
September 14,2013
Standard Unit(s)Serviced- ... Flowing Well Park 1 65.00 65.00
Standard Unit(s)Serviced- ... Carey Rd Park 1 65.00 65.00
Standard Unit(s) Serviced- ... Meadowlark Park 1 65.00 65.00
'1-
O
�M!k
UW v
N\G��
It is a pleasure working with you! Total
$195.00
hoosierportables.com (3 17) 844-6919 hoosierportables @gmail.com
Hoosier Portable Restroos Invoice
License #29-031/33/35
2201 E. 99th Street Date Invoice#
Indianapolis, IN 46280
(317) 844-6919 11i11i2013 8224
Bill To: Customer Phone
Carmel Parks Department 317-848-7275 Cl T��„���
1235 Central Park Drive East ]
Carmel,IN 46032 NOV 19 2013
Project P.O. No. Terms
Central Park Dr. East I verbal I Due upon receipt,please. I
Item Service Dates Quantity Rate Amount
Standard Unit(s)Serviced- ... Oct 12-23,2013 1 65.00 65.00
By Skate Park-
S ru
CVV ` v/ ✓
3
Thank you for your business. Total
$65.00
hoosierportables.com (317) 844-6919 hoosierportables @gmail.com
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
354857 Hoosier Portable Restrooms, Inc. Terms
2201 E. 99th Street
Indianapolis, iN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/5/13 8129 Portable Restrooms for Tour de Carmel $ 195.00
11/11/13 8224 Portable Restrooms for Sk8t night $ 65.00
Total $ %0.00
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$
$ 260.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 8129 4239039 $ 195.00 1 hereby certify that the attached invoice(s), or
1096-60 8224 4239039 $ 65.00 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
27-Nov 2013
Signature
$ 260.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund