227001 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 354857 Page 1 of 1
ONE CIVIC SQUARE HOOSIER PORTABLE RESTROOMS INC
0 CHECK AMOUNT: $640.00
CARMEL, INDIANA 46032 2201E 99TH ST
y o�ao INDIANAPOLIS IN 46280 CHECK NUMBER: 227001
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4353099 8327 320 . 00 OTHER RENTAL & LEASES
1125 4353099 8328 320 . 00 OTHER RENTAL & LEASES
j� EYVED
' 2013
Hoosier Portable Restrooms NOV 2 0
License #29-031/33/35 Date Invoice #
2201 E. 99th Street 11/19/2013 8327
Indianapolis, IN 46280
(317) 844-6919
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
Hazel Landing Park 30086 Due upon receipt, please.
Item , Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 08/31/13-11/01/13 8 40.00 320.00
10601 Hazel Dell Pkwy
Po�1�a�� 1��sr,z�or�t
a
1125-I-- JD-4�530q
It is a pleasure working with you!
Total $320.00
www.hoosierportables.com (317) 844-6919 hoosierportables @gmail.com
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F.
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NOV 2 0 2013
11
Hoosier Portable Restrooms
License #29-031/33/35 Date Invoice#
2201 E. 99th Street 11/19/2013 8328
Indianapolis, IN 46280
(317) 844-6919
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
Meadow Lark Park 30086 Due upon receipt, please.
Item Service Dates Weeks Weekly Rate Amount
(1) EAU Serviced 08/31/13-11/01/13 8 40.00 320.00
450 Meadow Ln
po( UNI. PfICU00ht
It is a pleasure working with you!
Total 6320.00
www.hoosierportables.com (317) 844-6919 hoosierportables @gmail.com
ACCOUNTS PAYABLE VOUCHER
CITY OF CARM EL
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
11/19/13 8327 Portable restroom Hazel Landing 8/31 - 11/1/13 30086 $ 320.00
11/19/13 8328 Portable restroom Meadowlark Park 8/31 - 11/1/13 30086 $ 320.00
Total $ 640.00
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
Voucher No. Warrant No.
354857 Hoosier Portable Restrooms, Inc. Allowed 20
2201 E. 99th Street
Indianapolis, iN 46280
In Sum of$
$ 640.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept#
30086 8327 4353099 $ 320.00 1 hereby certify that the attached invoice(s), or
30086 8328 4353099 $ 320.00 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
5-Dec 2013
1-h'h&MMAft1
Signature
$ 640.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund