184640 04/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351526 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS
a CARMEL, INDIANA 46032
5201 E 131ST ST CHECK AMOUNT: $12,734.13
ATTN: ACCT RECEIVABLE
o CHECK NUMBER: 184640
CARMEL IN 46033
CHECK DATE: 4/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 MAR10 12,734.13 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: April 9, 2010
FUNCTION: Breakfast /Snacks March 2010 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
391 Free $0.00 $0.00
92 Reduced $0.30 $27.60
1,845 Paid $1.25 $2,306.25
0 TOTAL $2,333.85
After School Snacks
1,434 Free $0.00 $0.00
650 Reduced $0.33 $214.50
15,433 Paid $0.66 $10,185.78
0 TOTAL $10,400.28
GRAND TOTAL $12,734.13
Purcha"f
o Description
P.O. P or
APR 15 2010 G.L.# -Ck pv,
Budget BT Line D escr
Purchaser L� —1
pRR�+ Dat e
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 Nutrition Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
419110 Mar'10 Breakfast/Snacks Mar'10 23406 12,734.13
Total 12,734.13
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_
Cierk- Treasurer
Ducher No. Warrant No.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
New Address 4�� In Sum of
Z
12,734.13
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1081 -99 Mar'10 4239040 12,734.13 1 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
22 -Apr 2010
Signature
12,734.13 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund