181575 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIV I C IN QUA 46032 HCO COFFEE &TEA INC
1114E 52ND ST CHECK AMOUNT: $25.00
r INDIANAPOLIS IN 46205
CHECK NUMBER: 181575
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355100 CR02010 -1 25.00 PROMOTIONAL FUNDS
7
Invoice
Invoice Number:
HCO Coffee Tea
1114 E. 52nd Street 02010 -1
Indianapolis, IN 46205 Invoice Date:
Jan 9,2010
Page:
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220 30 W. Main Street Suite 220
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer PO Payment Terms
CRD Net 30 Days
Sal es_Rep,lD Shipping Method Ship_ Rate Due. Date
W1LB Hand Deliver 2/8/10
Quantity Item Description Unit Price Extension
1.00 895000 EQUIP HCO AQUALIBRIUM 25.00 25.00
I
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
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.
11 Payee
l 11 CO Corr"Y' r�9 Purchase Order No.
2' S7 Terms
44 6 4 20 5- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
v( ra ckD2o0 906' 57 zsa�
Total 2 $T6
1 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
C� co a IN SUM OF
(((q 2<7
74.}
S_ 0
ON ACCOUNT OF APPROPRIATION FOR
r S/O
Board Members
or NO. hereby certify invoice(s), INVOICE NO ACCT #/TITLE AMOUNT I hereb certif that the attached invoices or
c /-(3 5370O L5 i 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
(---/3 20 0
Directs i ilk' Pations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund