245861 06/03/15 �'��A+, CITY OF CARMEL, INDIANA VENDOR: 357542
ONE CIVIC SQUARE HOME CITY ICE CHECK AMOUNT: $*******292.50*
:. ,?�; CARMEL, INDIANA 46032 PO Box 111116 CHECK NUMBER: 245861
9MKTaN�° CINCINNATI OH 45211 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 3159154665 292.50 FOOD & BEVERAGES
Invoice Numb r: 3159154665
The Home City Ice Company
2000 Dr. Martin Luther King Jr. St
Indianapolis, IN 46202
- 670 or -
Customer: 2101080225
MONON COMMUNITY CENTER CARMEL
Store:
12 PARK DR E
RMEL, IN 4 32
Delivery: CCHARGE
11512015 :40 PM EST
Terms,
Due Date: AVS
Qty Inv Product Price Amount
150 150 7 Ib bagged ice $1.25 $187.50
UPC.# 0 7330920007 5
1 1 box rental $100.00 $100,00
UPC.# RENT
1 1 delivery charge $5.00 $5.00
UPC.# 0 7330920029 7
Subtotal: $292.50
Sales Tax:
Invoice Total:
PO Number:
Check Number:
Salesperson: 21439 - NATHAN WILSON
Rece i ved By:
Remit To:
The Home City Ice Company
P.O. Box 111116
Cincinnati, Ohio 45211
Thank you for your order!
Where a 'cable, the per unit billing r r ice listed
above des, in addi{ion to th sale price,
a separate c al o Irchandiser(s) on
your prem' :r agreement with
The Nome City ce Company
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.
357542 Home City Ice Company Terms
P.O. Box 111116
Cincinnati, OH 45211
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/15/15 3159154665 Ice box rental&ice 38540 $ 292.50
Total $ 292.50
I 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
I
Voucher No. Warrant No.
357542 Home City Ice Company Allowed -20—
p.o.
0P.O. Box 111116
Cincinnati, OH 45211
In Sum of$
I
$ 292.50
ON ACCOUNT OF APPROPRIATION FOR
i
109 -Monon Center 4
t
Po#or Board Members
De INVOICE NO. CCT#/TITL AMOUNT
Dept P
1095-1 3159154665 4239040 $ 292.50 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
1
} May 28, 2015
'P
t PJV
I signature
$ 292.50. i Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
j
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