184514 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
i ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 184514
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1160 4355100 25.00 PROMOTIONAL FUNDS
INVOICE #642092
ROUTE, 70604 70604
DRIVER 70045 FIELD, WILLIAM
04/02/2010 11:12am
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 CC PRICE QTY AMOUNT
[2120] CALDERON 100% (42/1.760Z) 17317 42 26.00 1 25.00
TOTAL DELIVERED 1 25.00
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 25.00
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
r 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
Mom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total d,)
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�3'jp� 02 c 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
20
Ll
j ignature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund