HomeMy WebLinkAbout302841 09/12/16 1+p C4q�
�i ,.. CITY OF CARMEL, INDIANA VENDOR: 370529
i1 ONE CIVIC SQUARE ALPHA BAKING COMPANY CHECK AMOUNT: $********42.02*
s,.\ ,?? CARMEL, INDIANA 46032 36230 TREASURY CENTER CHECK NUMBER: 302841
9M,._...� CHICAGO IL 60694 CHECK DATE: 09/12/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 160367243011 42.02 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
36230 TREASURY CENTER IN SUM OF$ 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.
$42.02 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
160367243011 42-390.40 $42.02 I hereby certify that the attached invoice(s),or 8/30/16 160367243011 Bread $42.02
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
Tuesday,August 30,2016
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: 08/30/2016 TIME: 06:26 AM
ROUTE # 0367 THOMAS MANSBACH
CUSTOMER # 48783 TYPE Charge
Brookshire Golf Club
12120 Brookshire Pkwy.
Carmel, IN 46033
INVOICE # 160367243011 PO #
SALES
PROD# DESCRIPTION QTY PRICE AMOUN-
UPC
----- ------••--------------- --- ------- ------
12372 2# Delux Wheat 9 Grain 3 4.46 13.3!
51110 4"HamPL 12ct Bag-Rosen 3 2.18 6.5g
073711427817
53029 Hotdog PL 12ct Bag-Ros'- 10 2.18 21.86
073711385124
99999 Energy Surcharge 1 0.30 0.36
-----------------------------------------------
TOTAL SALES 17 42.0,
TOTAL DUE 42.0
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DRIVER SIGNATURE
Thomas Mansbach
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DRIVER PRINTED NAME