303279 09/26/16 y uS..4.AgM
CITY OF CARMEL, INDIANA VENDOR: 370529 CHECK AMOUNT: $""""""""92.06"
d '{ ONE CIVIC SQUARE ALPHA BAKING COMPANY
aQ' CARMEL, INDIANA 46032 36230 TREASURY CENTER CHECK NUMBER: 303279
CHICAGO IL 60694 CHECK DATE: 09/26/16
t ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 160367191013 50.50 FOOD & BEVERAGES
1207 4239040 160367256014 41.56 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
36230 TREASURY CENTER IN SUM OF$ 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.
$41.56 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
160367256014 42-390.40 $41.56 1 hereby certify that the attached invoice(s),or 9/12/16 160367256014 Bread $41.56
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, September 12,2016
1 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Alpha Baking Company
36230 Treasury Center
Chicago, IL 60694
JE: 09/12/2016 TIME: 05:23 AM
)UTE # 0367 THOMAS MANSBACH
JSTOMER # 48783 TYPE Charge
,00kshire Golf Club
?120 Brookshire Pkwy.
armel, IN 46033
VVOICE # 160367256014 PO #
SALES
ROD# DESCRIPTION QTY PRICE AMOUNT
UPC
---- ---------------------- --- ------- ------
1315 2# White Dlx thk/sl 1 4.00 4.00
2372 2# Delux Wheat 9 Grain 2 4.46 8.92
1110 4"HomPL 12ct Bag-Rosen 5 2.18 10.90
073711427817
3029 Hotdog PL 12ct Bag-Ros 8 2.18 .17.44
073711385124
9999 Energy Surcharge 1 0.30 0.30
----------------------------------------------
OTAL SALES 17 41.56
OTAL DUE 41.56
THANK YOU
Online web ordering is
available for your account,
to sign up call: 773-797-3432.
ORIGINAL
CUSTOMER COPY
No signature required
--------------------------
DRIVER SIGNATURE
Thomas Mansbach
--------------------------
DRIVER PRINTED NAME
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALPHA BAKING COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
36230 TREASURY CENTER IN SUM OF$ 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.
$50.50 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
160367191013 42-390.40 $50.50 1 hereby certify that the attached invoice(s),or 7/9/16 160367191013 Bread $50.50
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, September 12,2016
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 36230 Treasury Center
Company Chicago, IL 60694-6200
PO NUMBER
HANDHELD INVOICE 160367191013
Bill To 48783 Ship To 48783
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Pkwy. 12120 Brookshire Pkwy.
Carmel,IN 46033 Carmel,IN 46033
Delivery Route
Date Number
7/9/2016 367
Product# Description Price Quantity Amount
11222 2#White Poly $2.40 1 $2.40
11315 . 2#White Dlx thk/sl $4.00 1 $4.00
12372 2#Delux Wheat 9 Grain Reg Sl $4.46 2 $8.92
51110 4"HamPL 12ctBag-Rosens $2.18 6 $13.08
53029 Hotdog PL 12ct Bag-Rosens $2.18 10 $21.80
99999 Energy Surcharge $0.30 1 $0.30
Total 21 $50.50
Online web ordering is available for your account,to sign up call: 773-797-3432. Page 1 of 1