181771 02/02/2010 s +Y"N, CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SEF ',HECK AMOUNT: $6,983.57
CARMEL, INDIANA 46032 5201 E 131ST STREET
CARMEL IN 46033 CHECK NUMBER: 181771
CHECK DATE: 2/2/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 DECO9 6,983.57 FOOD BEVERAGES
r.
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: January 20, 2010
FUNCTION: Breakfast /Snacks December 2009 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
233 Free $0.00 $0.00
58 Reduced $0.30 $17.40
973 Paid $1.25 $1,216.25
0 TOTAL $1,233.65
After School Snacks
737 Free $0.00 $0.00
384 Reduced $0.33 $126.72
8,520 Paid $0.66 $5,623.20
0 TOTAL 5,749.92
GRAND TOTAL $6,983.57
Purchase
Description
P.O. PorF
G.L #'AU --1 L L \LY1 A
Budge# a I
Line D escx
Purchaser \TN e D I :41
Approval Date /4' /O L.: JAN N 2 1 2010 Lui
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
358595 Carmel Clay Schools Food Nutrtion
Terms
5201 E. 131st St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date. Number (or Amount
or note attached invoice(s) or bill(s)) PO
23110 F 6,983.57
1/20/10 Dec'09 Breakfast/Snacks Dec`09
Total 6,983.57
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
358595 Carmel Clay Schools Food Nutrtion Allowed 20
5201 E. 131st St.
Carmel, IN 46033
In Sum of$
6,983.57
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1081 -99 Dec'09 4239040 6,983.57 I hereby certify that the attached invoice(s), or
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
28 -Jan 2010
Signature
6,983.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund