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313046 06/28/17 9�r Coq* >^ ., CITY OF CARMEL, INDIANA VENDOR: 362576 D ONE CIVIC SQUARE HCO COFFEE&TEA INC CHECK AMOUNT: $**......77.50* 4; r4 CARMEL, INDIANA 46032 1114 E 52ND ST CHECK NUMBER: 313046 vy. INDIANAPOLIS IN 46205 CHECK DATE: 06/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4355100 824883 77.50 PROMOTIONAL FUNDS o z $ < m0 k 7 / of O g k © > 2 m n n J 0 T q k ® m 0 0 / m 0) z K = 6 k q » q O % \ / a z a g q ƒ q % D f o > � k 0 O T C) § 20 3 ƒ / § E \ CD - m k z § z zƒ > _ 0 § k 0 . |o ¥ 5 _ J a i 3 R A ■ k 0 ( k ƒ / E $ mo F CLF o m m ® m ° k A. Q / i \ CD (D R f < w { ( % f ` - CL , 2 « \ �% ¢ G @ E m a m Q » 0 7 ° © ° m ƒ e k I k ƒ < / CD w » \ 0) f [ § 7 & ) k E |� _ - e o f %I - & m § I E ! ƒ$ j § m \ { \ CD 7 > \ 22 P � g _ C o 'oCD [ // 0 m ƒ \� c k 20 ° m f / Q ( o %k \ \ U � � _00 D §� & �_ o > /E3 \ > S r Sri q / \ 0 ? / j E \ r r- 0 7 3 j � E $ C f ® a v § R = 0 m m A o C _ 0 \ \ \] M -n B \ f ] z som E 2 'COD }_e C z ° \ Invoice Invoice Number: \1 Coffee & Tea 111 E. 52nd Street 824883 Indianapolis, IN 46205 Invoice Date: Jun 16, 2017 Page: Sold To: 1 Ship To: CARMELCITYHALL CARMEL CITY HALL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Customer ID Customer PO Payment Terms CARMELCITYHALL Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date ROSER Hand Deliver 6/16/17 7/16/17 Quantity Item Description Unit Price Extension 900000 CUSTOMIZE PAR LEVEL INVOICE 1.00 437200 HCO FULL CITY RST 34/2oz w/flt 38.00 38.00 437230 HCO FULL CITY DCF 34/2oz w/flt 39.00 3100270 ARDITO BLEND 18/2.5oz 36.00 5070270 FIRENZE DECAF 18/2.5oz 37.00 1.00 3102270 FIRENZE BLEND 18/2.5oz 36.00 36.00 1.00 895900 DELIVERY FEE 3.50 3.50 V Subtota I 77.50 Sales Tax ORDER ACCEPTED ASC MPLETE; CUSTOMER AUTHORIZED SIGNATURE & DATE RECD Shpg & Hndlg 6 Total Invoice Amount 77.50 Payment Received 0.00 Check No: TOTAL 77.50