HomeMy WebLinkAbout181238 01/13/2010 \4 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
i, t ONE CfVIC SQUARE HCO COFFEE TEA INC
1114E 52ND ST CHECK AMOUNT: $72.40
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46205 CHECK NUMBER: 181238
CHECK DATE: 1113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355100 800258 47.40 PROMOTIONAL FUNDS
902 4355100 CRD2009 -12 25.00 PROMOTIONAL FUNDS
Invoice
Invoice Number:
HCO Coffee Tea
1114 E. 52nd Street CRD2009-12
Indianapolis, IN 46205 Invoice Date:
Dec 9, 2009
Page:
1
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CRD Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver j -1/8/10
Quantity Item Description Unit Price Extension
1.00 895000 EQUIP HCO AQUALIBRIUM 25.00 25.00
Subtotal 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg Hndlg
AUTHORIZED SIGNATURE DATE REC'D
Total Invoice Amount 25.00
Payment Received 0.00
Check No: TOTAL 25.00
Invoice
g3S5/e'd Invoice Number:
HCO Coffee Tea
1114 E. 52nd Street 800258
Indianapolis, IN 46205 Invoice Date:
Dec 7, 2009
Page:
1
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CRD Net 30 Days
Sales Rep ID Shipping_Method Ship Date Due Date
WILB j Hand Deliver 1217109 1/6/10
Quantity Item Description Unit Price Extension
1.001 CUSTOMIZED PAR -LEVEL INVOICE
1.00 3102270 FIRENZE BLEND 18/2.5oz 43.90 43.90
1.00 895900 FUEL CHARGE 3.50 3.50
Subtotal 47.40
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg Hndlg
AUTHORIZED SIGNATURE DATE REC,`D
Total Invoice Amount 47.40
Payment Received 0.00
Check No: TOTAL 47.40
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
11 (0 Co ee 7cok Purchase Order No.
52. Terms
nrii6nOdiS 40-05 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12`949 (8 02009 F l o', HCO fern 1;bri(hm 2s
11-7-09 eOOZ5(S Co ffFe '7
Total 7 ILO
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.
•.Y
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
C4 Fee T e A I N SUM OF
E 52 5t,
L ndOnkpo li 5 V2() 9
-72
ON ACCOUNT OF APPROPRIATION FOR
Board Members
7 INVOICE NO. ACCT I hereby certify /TITLE AMOUNT Y Y
DEPT: or that the attached invoice(s), or
902 t 355 1 Q- 5 U(j bill(s) is (are) true and correct and that the
902-_ g o 51 35 S /D0 4740 materials or services itemized thereon for
which charge is made were ordered and
received except
1
N1
Sig ure
Director of Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund