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316228 9/26/2017 CITY OF CARMEL, INDIANA VENDOR: 362341 CHECK AMOUNT: $"'**'*'38.00' HCO COFFEE&TEA INC ONE CIVIC SQUARE 1114 E 52ND STREET CHECK NUMBER: 316228 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46205 CHECK DATE: 09/26/17 9Ml,pN gip• DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 38.00 FUNDS 1160 4355100 826177 PROMOTIONAL o z 0 $ « ] o 0 0 : $ k © > k mn ° 0 � f/ cyl k® m n } O r- 3 m% m 2 f 7 / k �_ q \ O n -4 a 2 m m so ® k A q ° > z k k k � � { O k S r > q ƒ § § E CD m 3 a © X CT. L ° z 2 O \ > -n O \ § q o w | � > ( g / CDc E m � J m CD a n a) - ; f k i (D J \ S C » E 7 ƒ CD 3% \Q $ & ° m 7 f E n a _ & E § % 0 E c CL a 5 # %Dm 0 ° § � f § � ® CL $ § o « / � � ; s - CD ƒ ii k § m § � / 7 = ¥ CD ■$ © m {$ E > \ C-) g [/0 OD c ° a 4 m ƒ \ � C a 2 / -4 ° _ } 2 C-) Z f / \ c \ \f 0 % D 0. §\ & g s > 7m � 2 / \ m G k \ j \ \ D & f W 7 E ] C & Q F m m / } n k 2 _CM o � § m � ] § K © / \ ( 0. > \ f § _ 0 § 7 { / § ® m Invoice Invoice Number: .a, HUBBARD&CRAVENS ® Coffee and Tea 826177 1114 E.52ND STREET Invoice Date: NNNNANONAAVENS INDIANAPOLIS, IN 46205 awmAug 25, 2017 Phone: (317)251-3198 Page: Fax: (317)251-3297 1 Sold To: Ship To: OC -CARMEL CITY HALL OC -CARMEL CITY HALL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 USA Customer ID Customer PO Payment Terms OCCARMCH Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date TEPR HAND DELIVER 8/25/17 9/24/17 Quantity Item Description Unit Price Extension 1.00 900000 CUSTOMIZED 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 DCF FIRENZE 18/2.5oz 37.00 3102270 FIRENZE BLEND 18/2.5oz 36.00 895900 DELIVERY FEE 3.50 Subtota i 38.00 ed,7 L�__ Z Sales Tax 0)wgikAC PTE15 AS COMPLETE, AU ORIZ Shpg & Hndlg SIGNATURE &DATE RECD Total Invoice Amount 38.00 Check No: Payment Received 0.00 TOTAL 38.00