311992 05/30/17 `�'"•• CITY OF CARMEL, INDIANA VENDOR: 367210
ONE CIVIC SQUARE PANERA BREAD CHECK AMOUNT: $"*""1,060.90"
r4. CARMEL, INDIANA 46032 ATTN:ACCOUNTS RECEIVABLE CHECK NUMBER: 311992
• '' PO BOX 504888
M«ox�O CHECK DATE: 05/30117
ST LOUIS MO 63150-4888
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239099 1,060.90 6080043473786
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Panera Bread w� Invoice Number: 6080043473786
Cafe 608004
2902 West,866 Street
�r Indian lis, IN 46268
'I F-'-...-
AY 1 9 2011
INVOICE
........
Customer Billing Address: Delivery Details: .................
-
147779 Delivery Date: 5/17/2017
Carmel Clay Parks& Recreation Customer PO#: 41523
1411 E 116th Street Authorized User: Koepper, Dawn
Carmel, IN 46032 POS Order: 916252
Delivery Address: 1235 Central Park Dr. E
Indianapolis, IN 46032
QTY Description Unit Price Amount
30 Cafe Lunch Sdw $9.19 $275.70
30 Sierra Turkey Sdw
30 Choc Chipper Cookie
30 Chips
30 Cafe Lunch Sdw $9.19 $275.70
30 Chips
30 Choc Chipper Cookie
30 Ham 8 Swiss Sdw
35 Sig Lunch Sdw $10.19 $356.65
35 Chips
35 Choc Chipper Cookie
35 Napa Almond Chicken Salad Sdw
10 Cafe Lunch Sdw $9.19 $91.90
10 Chips
10 Choc Chipper Cookie
10 Med Veggie Sdw
5 Salad Box $9.19 $45.95
5 French Baguette
5 Choc Chipper Cookie
5 Greens Salad
Ver 2.3.7 Page 1 of 2 5/17/2017
Panera Bread Invoice Number: 6080043473786
Cafe 608004
2902 West 86th Street
Indianapolis, IN 46268
NNW
INVOICE
Please remit payment to: Subtotal: $1,045.90
Delivery Fee: $15.00
Panera, LLC Sales Tax: $0.00
Attn:Accounts Receivable Total: $1,060.90
P.O. Box 504888
St. Louis, MO 63150-4888 Tip: $0.00
Final Total: $1,060.90
* Please reference invoice number on
payment remittance
Receiver's Name& Phone (printed):
Receiver's Signature:
All transactions are subject to the terms of your approved credit application.
Payment Terms of Net 30 Days.
Ver 2.3.7 Page 2 of 2 5/17/2017