183485 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $151.64
MERRIAM KS 66202
CHECK NUMBER: 183485
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 641852 63.07 PROMOTIONAL FUNDS
1110 4239099 641853 9.07 OTHER MISCELLANOUS
1110 4355100 641853 79.50 PROMOTIONAL FUNDS
INVOICE #641853
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
03/05/2010 10:58am
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 4211.1 86636
42 26.50 3 79.50
[0657] AD CREAMER NON-DAIRY 1202 SHAKER
1 1.75 3 5.25
[0186] AD SUGAR CANISTER (24/2002)
1 1,91 2 3.82
TOTAL DELIVERED 8 88.57
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 88.67
NO PAYMENT RECORDED
"Thank you for your business"
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))
115/10 6418SI pnymprtt fQr coffee, r-reamer and sugar 88.57
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
Tr America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
88.57
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 641853 551 79.50 bill(s) is (are) true and correct and that the
1110 641853 390 -99 9.07 materials or services itemized thereon for
which charge is made were ordered and
received except
March 10 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE #641852
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
03/05/2010 10:36am
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
ITEM
CC PRICE QTY AMOUNT
[1641] CREAMER HAZELNUT CM (12/15OZ) 12345
1 4.00 1 4.00
[2118] CALDERON 100% C2 DC (42/1.502) 14751
42 25.00 1 25.00
[2120] CALDERON 100% (4211.7502) 17317
42 25.00 1 26.00
[2672} CREAMER ORIG COFFEEMATE (12/11OZ)55882
1 2.33 2 4.66
[0186] AD SUGAR CANISTER (24/2002)
1 1.91 1 1.91
[0227] STIR STIX 5IN (10/1000)
1 2.50 1 2.50
TOTAL DELIVERED 7 63.07
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 63.07
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
3/1'5/10 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))
3/5/10 641852 Coffee supplies $63.07
Total $63.07
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.
3/15/10
ALLOWED 20
r `r
-Treat America IN SUM OF
9702 E. 30th St
Indianapolis IN 46229
63.07
ON ACCOUNT OF APPROPRIATION FOR
1160- Mayor- 4355100
Promotional funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
641852 4355100 $63.07 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
3/15 20 10
AL
Sigtr� e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund