183962 03/29/2010 «R CITY OF CARMEL, INDIANA VENDOR, 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $176.48
CARMEN, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 68202 CHECK NUMBER: 183962
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 641969 14.48 OTHER MISCELLANOUS
1110 4355100 641969 162.00 PROMOTIONAL FUNDS
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INVOICE #641969
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ROUTE 70604 70604
DRI, R 70045 FIELD, WILLIAM
03/19/2010 10:55am
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 3 79.50
[0657] AD CREAMER NON -DAIRY 12OZ SHAKER 1 1.75 5 8.75
[0722] MAXWELL HOUSE DECAF 4211.10Z 39039 42 27.50 3 82.50
[01861 AD SUGAR CANISTER (24/20OZ) 1 1.91 3 5.73
TOTAL DELIVERED 14 176.48
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 176.48
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribed by Slate Board otAccounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Tieat 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))
3/19/10 641969 payment for coffee 176.48
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
T reat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
176.48
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
I]EPT. I hereby certify that the attached invoice(s), or
1110 641969 390 -99 14.48 bill(s) is (are) true and correct and that the
1110 641969 551 162.00 materials or services itemized thereon for
which charge is made were ordered and
received except
March 24 2 0 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund