250371 10/07/15 CAA .
CITY OF CARMEL, INDIANA VENDOR: 367210
CHECK AMOUNT: $ ....**99.19`
•i's ® ij• ONE CIVIC SQUARE PANERA BREAD
CARMEL, INDIANA 46032 ATTN:ACCOUNTS RECEIVABLE CHECK NUMBER: 250371
PO BOX 504888 CHECK DATE: 10/07/15
ST LOUIS MO 63150-4888
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 60800401077 99.19 GENERAL PROGRAM SUPPL
Panera Bread Invoice Number: 60800401077
Cafe 608004
" 2902 West 86th Street
17
Indianapolis, IN 46268 MED
SEP 1 g 2015
INVOICE
Customer Billing Address: Delivery Details:
147779 Delivery DateZj
'Al g�8/4/2015
CARMEL CLAY PARKS & RECREATION Customer PO.#: xx2545. �
� �=w..»su'�,v5tft1A
akLC` u_.R ..
11 Ei1}16thtStreet - m A hprizedUKoep r Dawmg4
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CarmelIN . � POS*Orderp7006.4:7` -
,` zap
d
QTY Description Unit Price Amount
1 Dlx Asst $69.99 $69.99
5 Chips
1 Napa Almond Chicken Salad Sdw
I Bacon Tky Bravo Sdw
I Italian ComboSdw
1 Smoked Turkey Sdw
1 Siena Tky Sdw
1 Candy Coolde
1 Choc Chipper Coolie
1 Oatmeal
I ShortbreadCoolde
1 ToffeeCoolde
1 Classic Salad Dix
1 French Baguette
5 Chips $0.85 $4.25
1 Choc Chipper Cookie $1'99 $1'99
1 Oatmeal Cookie $1'99 $1.99
1 Shortbread Cookie $1'99 $1'99
1 Toffee Nut Cookie $1.99 $1.99
1 Candy Cookie $1.99 $1.99
Ver 2.1.8
Page 1 of 2 8/4/2015
Panera Bread Invoice Number: 60800401077
_ Cafe 608004
2902 West 86th Street
o»r _ Indianapolis, IN 46268
INVOICE
Please remit payment to: Subtotal: $84.19
A* Delivery Fee: $15.00
Panera-BreadHCompany
Sales Tax: $0.00
*':= "Attn.Accounts,Receivatile -,
- -- .:a Total: $99.19
y :
P';0-- 136x�5.04888':
Tip: $0.00
t 1StLouis3,M0631504888
Final Total: $99.19
3 � *Please reference invoice number on
payment remittance
Receiver's Name&Phone(printed):
Receiver's Signature:
All transactions are subject to the terms of your approved credit application.
Payment Terms of Net 30 Days.
Ver 2.1.8 Page 2 of 2 8/4/2015
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.
367210 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
8/4/15 60800401077 Food for Rec Staff Meeting xx2545 $ 99.19
I
Total $ 99.19
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
Voucher No. Warrant No.
367210 Panera Bread Company Allowed
P.O. Box 504888 20
St. Louis, MO 63150-4888
In Sum of$
$ 99.19
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or
Deptept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1096-99 60800401077 4239039 $ 99.19 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
October 1, 2015
Signature
$ 99.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund