181666 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
a 8500 SHAWNEE MISSION PA RKWAY
CHECK AMOUNT: $209.30
CARMEL, INDIANA 46032
MERRIAM KS 66202 CHECK NUMBER: 181666
UN
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4355100 641373 209.30 PROMOTIONAL FUNDS
INVOICE #641373
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
01/08/2010 12:57pm
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 5 132.50
[0657] AD CREAMER NON -DAIRY 120Z SHAKER 1 1.75 7 12.25
[0722] MAXWELL HOUSE DECAF 42/1.10Z 39039 42 27.50 2 55.00
[0186] AD SUGAR CANISTER (24/200Z) 1 1.91 5 9.55
TOTAL DELIVERED 19 209.30
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 209.30
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.
9702 East 30th Street Terms
Indianapolis, IN 46229 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/8/10 641373 payment for coffee 209.30
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
Treat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
209.30
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s), DEPT. I hereb certi that the attached invoices or
1110 641373 551 209.30 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 13 20 1'0
Signature
Chief of P01irP
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund