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312110 6/5/2017
CITY OF CARMEL, INDIANA VENDOR: 36721 CHECK AMOUNT: S*******868.10* PANERA BREAD ONE CIVIC SQUARE ATTN:ACCOUNTS RECEIVABLE CHECKNUMBER: 312110 (9- ) CARMEL, INDIANA 46032 PO BOX 504888 CHECK DATE: 06/05117 ST LOUIS MO 63150-4888 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION OTHER MISCELLANOUS 1082 4239099 6080041705 868.10 $ 0 § (6 * 0 2 / © > z k 2 @ 0 (1) -0 -079 C) C) 0 / ° ( k Co 2 z ® C. 2 ca R S $ p cck E a ; # a m > 0 \ g j $ w o m � k /� (a U) o a 0 a J @ [ 2 2 C) / § a D # w % 2 / 4 CL 2 00 co PD \ 0 0 0 ; ] E > n � m � / ƒ \ ® < CL 7 m 0 Q o 0 J ° E C k e / \ k 9 2 $ % \ Q m m E m 2 E 0 C) oE a r CDk \ K 0 C B 7 © C o § E 0 $ o / U)CL § | \ o Panera Bread Invoice Number: 6080041705170103903 Cafe 608004 2902 West 86th StreetFK , Indianapolis, IN 46268 i 2017 I INVOICE BY.. _. . ._- ._ .*:j Customer Billing Address: Delivery Details: 147779 Delivery Date: 5/18/2017 Carmel Clay Parks&Recreation Customer PO#: 1524 1411 E 116th Street Authorized User: Koepper, Dawn Carmel, IN 46032 POS Order: 916313 Delivery Address: 2902 West 86th Street Indianapolis, IN 46268 QTY Description Unit Price Amount 22 Cafe Lunch Sdw $9.19 $202.18 22 Sierra Turkey Sdw 22 Choc Chipper Cookie 22 Chips 22 Cafe Lunch Sdw $9.19 $202.18 22 Chips 22 Choc Chipper Cookie 22 Ham&Swiss Sdw 26 Sig Lunch Sdw $10.19 $264.94 26 Chips 26 Choc Chipper Cookie 26 Napa Almond Chicken Salad Sdw 10 Cafe Lunch Sdw $9.19 $91.90 10 Chips 10 Choc Chipper Cookie 10 Med Veggie Sdw 10 Salad Box $9.19 $91.90 10 French Baguette 10 Choc Chipper Cookie 10 Greens Salad Ver 2.3.7 Page 1 of 2 5/18/2017 Panera Bread Invoice Number: 6080041705170103903 Cafe 608004 2902 West 86th Street s Indianapolis, IN 46268 INVOICE Please remit payment to: Subtotal: $853.10 Delivery Fee: $15.00 Panera, LLC Sales Tax: $0.00 Attn:Accounts Receivable Total: $868.10 P.O. Box 504888 St. Louis, MO 63150-4888 Tip: $0.00 Final Total: $868.10 * 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 5/18/2017