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258907 05/31/16
`/ CITY OF CARMEL, INDIANA VENDOR: 370529 �?' t; ONE CIVIC SQUARE ALPHA BAKING COMPANY CHECK AMOUNT: $*******301.55* ?� CARMEL, INDIANA 46032 36230 TREASURY CENTER CHECK NUMBER: 258907 M,�roN�. CHICAGO IL 60694 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 160367135015 125.42 FOOD & BEVERAGES 1207 4239040 160367142013 101.54 FOOD & BEVERAGES 1207 4239040 160367145017 74.59 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 36230 TREASURY CENTER IN SUM of$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60694 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $101.54 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 160367142013 42-390.40 $101.54 1 hereby certify that the attached invoice(s),or 5/21/16 160367142013 Bread $101.54 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, May 23,2016 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Alpha Baking Company ,.36230.Treasury Center Chicago, Il 60694-, ?ATE: 05/21/2016 TIME: 06:02 AM tOUTE # 0367 THOMAS MANSBACH ;USTOMER # 48783 TYPE Charge hokshire Golf Club 1'7120 Brookshire Pkwy. :armel, IN 46033- VOICE 6033;NVOICE # 160367142013 PO # SALES 'ROD#DESCRIPTION QTY PRICE AMOUNT UPC ---- ---------------------- --- ------- ------ 2372 2# Delux Wheat 9 Grain 4 4.46 17.84 '7100 2# Marble Rye 5/8" S1. 1 4.26 4.26 1110 4"HomPL 12ct Bag-Rosen 8 2.18 17.114 073711427817 1195 Plain Slonmer Buns'12c 12 1.95 23.40 3029-Hotdog PL 12ct Bag=Ros 5 2.18 10.9© 073711385124 3082 Mini Hot Dog 16 Ct Pla 10 2.74 27.40 073711530289 9999 Energy Surcharge 1 -0.30- 0.30 ------------------------------- OTAL SALES 41 101:54 OTAL DUE 101.54 THANK YOU Online web ordering. is available for your account, to sign up call: 773-797-3432. ORIGINAL CUSTOMER COPY No signature required VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts city Form No.201(Rev.1995) ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 36230 TREASURY CENTER IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60694 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $74.59 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 160367145017 42-390.40 $74.59 1 hereby certify that the attached invoice(s),or 5/24/16 160367145017 Bread $74.59 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, May 25,2016 IV I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer I i: ,, �: ,. i '.i' . . i �' i -�� � -, �, 1 .... ,_ � _: i � ;, _ i I .r._„ ��,., VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 36230 TREASURY CENTER IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60694 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $125.42 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 160367135015 42-390.40 $125.42 1 hereby certify that the attached invoice(s),or 5/14/16 160367135015 Bread $125.42 1207 101 1207 101 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 Monday, May 16,2016 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer alpha-Baking company 36230 Treasury Center Chicago, IL 60694 DATE: 05/14/2016 TIME: 06:31 AM ROUTE # 0367 • THOMAS MANSBACH CUSTOMER # 48783 TYPE Charge Brookshire Golf Club 12120 Brookshire Pkwy., Carmel, IN 46033 INVOICE # 160367135015 PO # SALES PROD# DESCRIPTION - QTY PRICE AMOUNT UPC ----- ---------------------- --- ------- ------ 12372 2# Delux Wheat 9 Grain 4 4.46 17.8 15313 2# Delux Sourdough Brd 1 3.98 3.9E 27100 2# Marble Rye 5/8" Sl. 1 4.26 4.2E 51110 4"HomPL. 12ct Bag-Rosen .8 2.18 17.4.9 073711427817 51195 Plain Slammer Buns 12c 20 1.95 39.0E 53029 Hotdog PL 12ct Bag-Ros 12 2.18 26.1E 073711385124 53082 Mini Hot Dog 16 Ct Pla 6 2.74 16.4 073711530289 99999 Energy Surcharge 1 0.30 0.3E ----------------------------------------------- TOTAL SALES 53 125.42 TOTAL DUE 125.42 THANK YOU Online web ordering is available for your account, to sign up call: 773-797-3432. ORIGINAL CUSTOMER COPY No signature required -------------------------- DRIVER SIGNATURE Thomas Mansbach -------------------------- DRIVER PRINTED NAME