HomeMy WebLinkAbout230566 03/26/14 0-11i,
CITY OF CARMEL, INDIANA VENDOR: 367210
CHECK AMOUNT: $*******168.82*
ONE CIVIC SQUARE PANERA BREADCARMEL, INDIANA 46032 ATTN:ACCOUNTS RECEIVABLE CHECK NUMBER: 230566
PO BOX 504888 CHECK DATE: 03/26/14
ST LOUIS MO 63150-4888
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 60800400245 168.82 SPECIAL PROJECTS
Panera Bread Invoice Number: 60800400245
a Cafe 608004
2902 West 86th Street
Indianapolis, IN 46268
INVOICE
Please remit payment to: Subtotal: $168.82
Delivery Fee: $0.00
Panera Bread Company Sales Tax: $0.00
Attn: Accounts Receivable Total: $168.82
P.O. Box 504888
St. Louis, MO 63150-4888 Tip: $0.00
Final Total: $168.82
Please reference invoice number on
Receiver's Name & Phone (printed): payment remittance
Receiver's Signature:
All transactions are subject to the terms of your approved credit application.
Payment Terms of Net 30 Days.
(AP,Q 4 LUNGµ 3-17-14
XX• 33v
Ver 2.1.4 Page 2 of 2 3/17/2014
Mc
7MAIR
ETIVED
Panera Bread 1 2014nvoice Number: 60800400245
Cafe 6080042902 West 86th StreeIndianapolis, IN 4626
INVOICE
Customer Billing Address: Delivery Details:
147779 Delivery Date: 3/17/2014
CARMEL CLAY PARKS & RECREATION Customer PO #: 5XX329
1411 E 116th Street Authorized User: Koepper, Dawn
Carmel, IN 46032 POS Order: 703739
Delivery Address: 1411 E 116th St
Carmel, IN 46033
QTY Description Unit Price Amount
3 Iced Tea Drink Tote $9.99 $29.97
1 Lemonade Drink Tote $9.99 $9.99
4 Cafe Lunch Sdw $8.99 $35.96
4 Smoked Turkey SdwBox
4 Candy Cookie
3 Cafe Lunch Sdw S8.99 $26.97
3 Sierra Turkey Sdw
3 Choc Chipper Cookie
4 Cafe Lunch Sdw $8.99 $35.96
4 Smk Ham&Swiss Sdw
4 Oatmeal
1 Sig Lunch Salad $9.99 $9.99
1 Spinach Pwr Salad
1 Candy Cookie
1 Sig Lunch Salad $9.99 $9.99
1 Thai Chicken Sal
1 Oatmeal
1 Sig Lunch Sdw $9.99 59.99
1 Bacon Tky Bravo Sdw
1 Shonbread Cookie i
Ver 2.1.4 Page 1 of 2 3/17/2014
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.
Panera Bread Company Terms
P.O. Box 504888
St. Louis, MO 63150-4888
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/17/14 60800400245 CAPRA Lunch 3/17/14 xx330 $ 168.82
Total $ 168.82
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.
Panera Bread Company Allowed 20
P.O. Box 504888
St. Louis, MO 63150-4888
In Sum of$
$ 168.82
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 60800400245 4359000 $ 168.82 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
20-Mar 2014
PA
Signature
$ 168.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund