302518 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 370529
ag I ONE CIVIC SQUARE ALPHA BAKING COMPANY CHECK AMOUNT: $****'***85.40`
r CARMEL, INDIANA 46032 36230 TREASURY CENTER CHECK NUMBER: 302518
CHICAGO IL 60694 CHECK DATE: 08/31/16
t (TON CO.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 160367232019 85.40 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
36230 TREASURY CENTER IN SUM OF$ 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.
$85.40 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
160367232019 42-390.40 $85.40 1 hereby certify that the attached invoice(s),or 8/19/16 160367232019 Bread $85.40
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
Friday,August 19, 2016
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
Alpha Baking Company
36230 Treasury Center
Chicago, IL 60694
DATE: 08/19/2016 TIME: 05:40 AM
ROUTE # 0367 THOMAS MANSBACH
CUSTOMER # 48783 TYPE Charge
Brookshire Golf Club
12120 Brookshire Pkwy.
Carmel, IN 46033
INVOICE # 160367232019 PO #
SALES
PROD# DESCRIPTION QTY PRICE AMOUNT
UPC
----- ---------------------- --- ------- ------
11315 2# White Dlx thk/sl 2 4.00 8.00
12372 2# Delux Wheat 9 Grain 4 4.46 17.84
34011 B&S 6" Garlic Brd Stic 1 2.11 2.11
34033 F/B Garlic Stick 8 Ct 1 2.65 2.65
51110 4"HamPL 12ct Bag-Rosen 10 2.18 21.80
. 073711427817
53029 Hotdog PL 12ct Bag-Ros 15 .2.18 32._70
073711385124
99999 Energy Surcharge 1 0.30 0.30
------------------------------------------------
TOTAL SALES 34 85.40
TOTAL DUE 85.40
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