HomeMy WebLinkAbout303393 09/26/16 y ur.CggMA .
�/ �• CITY OF CARMEL, INDIANA VENDOR: 370172
ONE CIVIC SQUARE H &H COFFEE SERVICE CHECK AMOUNT: $*****1,481.00*
•49\ ,_�; CARMEL, INDIANA 46032 7902 WINDHILL DRIVE CHECK NUMBER: 303393
INDIANAPOLIS IN 46256 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 4719 1,431.00 OTHER EQUIPMENT
1120 4350900 4719-B 50.00 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
H & H COFFEE SERVICE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
7902 WINDHILL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46256 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,481.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
4719 44-670.99 $1,431.00 1 hereby certify that the attached invoice(s),or 9/21/16 4719 $1,431.00
1120X1`02� - 1120 102
0 43-509.00 $50.00
bill(s)is(are)true and correct and that the 9/21/16 0 $50.00
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Wednesday, September 21,2016
David Haboush
Fire Chief
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
/ H & H COFFEE SERVICE !�719
7902 WINDHILL DRIVE
Date INDIANAPOLIS, INDIANA 46256
317-849-3440 • FAX:317-849-8810
FRANK HUBER
(-alF't
Customer: � e- D
1`
Address: O r-b e Bowles I S
Quantity Description Price Amount
Coffee-Reg.
Coffee-Decafe
Coffee-Flavored
Cream
Sugar
Cream-Flavored
Sweet& Low
Hot Chocolate
Tea
Stir Stix
JW VP-17-3 Ser, F56g6 clew Pur er ,(I
mow Pro '%1 Do.Do
Decanters
I V L PF Ser,#- 33 ?q-48 tu sed Low Pro� le- X00. o-0
CWTFser,# J41A-144' g (Useo) awi6pia+'c 300. 6-6
C,i F--/5ser, ,A X6'141g6 ( ew)au+cma+ic Too,C-0
#,�;230o -ojj_'s4-rnt'AEr- 1gW &tr (
Sub Total
Tax
Total 3(•�D
Received By:
ank You
H & H Coffee Service
7902 Wind Hill Drive
Indianapolis, Indiana 46256
lr ��22 (317) 849-3440
INVOICE NO. Mann_
DATE
BILLTO: JOB LOCATION:
�_ari-ne_j ri re_ T�Ve_0-,
Curb f�. �ow ( �S
PARTS or MATERIALS
QTY DESCRIPTION PRICE AMOUNT
DESCRIPTION OF WORK:
PARTS
MATERIAL
SALES TAX
SUB-TOTAL
LABOR RATE HOURS
c lea til eco re ► recl +es fe_d LABOR
1 L F 5er. #4V�PF 0 23 58 o crfl
MILEAGE RATE TOTAL MILES
MILEAGE
TOTAL
Thank You