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181415 01/13/2010 c, A; CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1 ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES 4• 0 CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $202.21 MERRIAM KS 66202 CHECK NUMBER: 181415 CHECK DATE: 1113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355100 641163 120.64 PROMOTIONAL FUNDS 1160 4355100 641372 81.57 PROMOTIONAL FUNDS .1 INVOICE #641372 ROUTE 604 604 DRIVER 239 FIELD, WILLIAM 01/08/2010 12:36pm Treat America 9702 East 30th Street Indianapolis, IN 46229 CUSTOMER 372600 CARMEL CITY HALL -MAYOR One Civic Square Carmel, IN 46032 TERMS: CHARGE DELIVERED [PIN] ITEM CC PRICE QTY AMOUNT [2118] CALDERON 100% C2 DC (42/1.50Z) 14751 42 25.00 1 25.00 [2120] CALDERON 100% (42/1.750Z) 17317 42 25.00 2 50.00 [2672] CREAMER ORIG COFFEEMATE (12/110Z)55882 1 2.33 2 4.66 [0186] AD SUGAR CANISTER (24/200Z) 1 1.91 1 1.91 TOTAL DELIVERED 6 81.57 TAX EXEMPT TOTAL DEPOSIT .00 INVOICE TOTAL 81.57 NO PAYMENT RECORDED "Thank you for your business" CUSTOMER SIGNATURE: r Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 1 /11 /10 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 Treat America Purchase Order No. 9702 E. 30th St Terms Indianapolis IN 46229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/8/10 641372 Cnffpe and supplies for Mayor's kitchen $81.57 Total $81 57 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. r 1/1D/10 ALLOWED 20 Treat America IN SUM OF 9702 E. 30th St. Indianapolis IN 46229 81.57 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4355100 Promotional funds Board Members o PT INVOICE NO. ACCT #/TITLE AMOUNT 1 hereby certify that the attached invoice(s), or 641172 4155100 $81.57 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 20 /0 Sign ure Title Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE #641163 ROUTE 604 604 DRIVER 239 FIELD, WILLIAM 12/14/2009 02:07pm Treat America 9702 East 30th Street Indianapolis, IN 46229 CUSTOMER 372602 CARMEL POLICE DEPT. 3 Civic Square Carmel, IN 46032 TERMS: CHARGE DELIVERED [PIN] ITEM CC PRICE QTY AMOUNT [0354] MAXWELL HOUSE MASTER BLEND 42/1.1 86635 42 26.50 4 106.00 [0657] AD CREAMER NON -DAIRY 120Z SHAKER 1 1.75 4 7.00 [0186] AD SUGAR CANISTER (24/2002) 1 1.91 4 7.64 TOTAL DELIVERED 12 120.64 TAX EXEMPT TOTAL DEPOSIT .00 INVOICE TOTAL 120.64 NO PAYMENT RECORDED "Thank you for your business" CUSTOMER SIGNATURE: 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 Treat America Purchase Order No. ti 9702 East 30th Street Terms Indiaanpolis, IN 46229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/11/09 641163 payment for coffee, sugar and creamer 120.64 Total 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 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 reat America IN SUM OF 9702 East 30th Street Indianapolis, IN 46229 120.64 ON ACCOUNT OF APPROPRIATION FOR police genrea lfund Board Members o Pr INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 641163 551 120.64 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 January 6 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund