250712 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 357542
Q
ONE CIVIC SQUARE HOME CITY ICE CHECK AMOUNT: $""""'t 155.00"
CARMEL, INDIANA 46032 PO Box 111116 CHECK NUMBER: 250712
CINCINNATI OH 45211 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 3183151941 155.00 FOOD & BEVERAGES
HCI Invoice Page 1 of 1
Invoice Number: 3183151941
The Home City Ice Company IMCOVED
2000 Dr. Martin Luther King Jr. St
Indianapolis, IN 46202 OCT 16 2015
(317)921-6670 or(800) 765-2742
Customer: 2101080225 BY.
MONON COMMUNITY CENTER CARMEL
Store:
1235 CENTRAL PARK DR E
CARMEL, IN 46032
Delivery: 07/16/2015 03:19:00 PM EST
Terms: CHARGE
I
Due Date: NET 10 DAYS
Qty Inv Product Price Amount
120 158 7 Ib bagged ice $1.25 $150.00
UPC: 073309200075
1 1 delivery charge $5.00 $5.00
UPC: 073309200297
Subtotal: $155.00
Sales Tax: $0.00
Invoice Total: $155.00
PO Number:
Check Number:
Salesperson: 21535-CHAD EPPLEY
Remit To:
The Home City Ice Company
P.O. Box 111116
Cincinnati, OH 45211
Thank you for your order!
https:Hinvoiceview.homecityice.comNiewInvoice.aspx?invoice=3183151941&key=UQx... 10/16/2015
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.
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
7/16/15 3183151941 Ice Replenishment xx2860 $ 155.00
Total $ 155.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
357542 Home City Ice Company Allowed 20
P.O. Box 111116
Cincinnati, OH 45211
In Sum of$
$ 155.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 3183151941 4239040 $ 155.00 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
I
October 16, 2015
Y(.QhJ
Signature
$ 155.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund