319299 12/05/17 9,�� CITY OF CARMEL, INDIANA VENDOR: 370529
.j f� ONE CIVIC SQUARE ALPHA BAKING COMPANY CHECK AMOUNT: $********67.54*
_� CARMEL, INDIANA 46032 36230 TREASURY CENTER CHECK NUMBER: 319299
_roN`o CHICAGO IL 60694 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 170367328018 67.54 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 370529 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ALPHA BAKING COMPANY IN SUM OF$ CITY OF CARMEL
36230 TREASURY CENTER An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60694
Payee
$67.54
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
170367328018 42-390.40 $67.54 1 hereby certify that the attached invoice(s),or 11/24/17 170367328018 Bread $67.54
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, November 27,2017
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
`paI`'•s�r s
Alpha Baking Company
36230 Treasury Center
Chicago, IL 60694
ATE: 11/24/2017 TIME: 06:19 AM
OUTE # 0367 THOMAS MANSBACH
USTOMER # 48783 TYPE Charge
'rookshire Golf Club
,2120 Brookshire Pkwy.
'armel, IN 46033
NVOICE # 170367328018 PO #
1111�11111 11 111 1 11/1111111
SALES
'ROD# DESCRIPTION QTY PRICE AMOUNT
UPC
---- ---------------------- --- ------- ------
5600 N/W English Muffins 12 1 36.23 36.23
'6012 Asst'd Donuts Wrapped 1 10.19 10.19
'6016 Apple Fritter Wrapped 2 5.84 11.68
'6021 White Long John Wrappe 1 4.27 4.27
'6026 Choc Long John Wrapped 1 4.27 4.27
19999 Energy Surcharge 1 0.90 0.90
-----------------------------------------------
'OTAL SALES 7 67.54
'OTAL DUE 67.54
THANK YOU
Online Web ordering is
available for your account.
To sign up, or place an order
call 0888) 23-ALPHA(25742).
ORIGINAL
CUSTOMER COPY
No signature required
--------------------------
DRIVER SIGNATURE
Thomas Mansbach
--------------------------
DRIVER PRINTED NAME