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312979 6/28/2017
CITY OF CARMEL` .`�,c�!ryfi , INDIANA VENDOR: 369028 AQUA FALLS BOTTLED WATER CHECK AMOUNT: $t t k k k k t 129.50' �: g ONE CIVIC SQUARE PO BOX 98 CHECK NUMBER: 312979 ?a, CARMEL, INDIANA 46032 ENON OH 45323 CHECK DATE: 06/28/17 wr,o„ DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT COFFEE SERVICE 1192 X4355100 34480 598637 129.50 2 , m 0 z O A O g § OD 2 z 0 > 0 C) � 0co > m / r- (A) m @ a ® o 2 C § - k 0 q O ; 0) g OD �% 7 n m a o k m J ] D % Q _K 2> k k § C0 � 2 § © # ■ CL n z 2 > O \ 7 § 2 q . « a 3 9 - 2 c § E n E � m E 0 a § k § § - S � o E k E / (DE / } ° E i 0 ( k / § - ( } ID= \ - EL 0- I 3 2 | o ID [£ e m Q r \ J a > � , [ § m \ I _/@ # 7 D ) ) g � k a a m 0 ca 00 Z k } k � k k � C % . 2 } w # # D 2 » 7 } 7 /\ ? g a CD Tg e�$ © D {_ � \ g §o ) Q E i > in 2: } 2 g 7 / = M 0 z n 2. k E � E 2z % ) / CD C X 2 2 # - } § ■ / g q § C 5 - $ ƒ M » § f a CL } § & 2 z . \ R. m � OL � 2 « § § ¥ A INVOICE Aqua Falls Bottled Water Date 06/05/2017 P. O. Box 98 Invoice#598637 Enon OH 45323-0098 Direct all inquiries regarding this invoice to our accounting department at 937-864-5495 Bill To To City Of Carmel Dept Comm Servi Cit f Carmel Dept Comm Servi 1 Civic Square /l 1 Civ' Square Carmel IN 46032 �i / mel IN 46032 ✓ Acct. No. 055041 Description Qty Price Charge Payment Balance K cup Maxwell Original Roast 2@ 12.95 25.90 25.90 K cup Folgers Classic Roast 2@ 95 25.90 25.90 Kcup Krispy Creme 2@ 12.95 25.90 25.90 k cup Newmans bold 2@ 12.95 25.90 25.90 Kcup Eight Oclock 2@ 12.95 25.90 . Invoice Total 129.50 Balance Forward 10.00 Received by: ACCT. BALANCE 139.50 Driver Rte-Day Bossman X