185015 04/28/2010 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE TEA INC
CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 ilia E 52ND ST
INDIANAPOLIS IN 46205 CHECK NUMBER: 185015
CHECK DATE: 4/28/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355100 CRD2010 -4 25.00 PROMOTIONAL FUNDS
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Invoice
Invoice Number:
HCO Coffee Tea
1114 E. 52nd Street CRD2010 -4
Indianapolis, IN 46205 Invoice Date:
Apr 9, 2010
Page:
1
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220 30 W. Main Street Suite 220
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer PO Payment Terms
CRD Net 30 Days
Sales- Rp -ID- _.Shinning Method— —Ship-Date. Due -Date"
WILB Hand Deliver 519/10
Quantity Item Description Unit Price Extension
1.00 895000 EQUIP HCOAQUALIBRIUM 25.00 25.00
I
1
Subtotal 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg Hndlg
AUTHORIZED SIGNATURE DATE REC'D
Total Invoice Amount 25.00
Payment Received 0.00
Check No: TOTAL 25.00
Prescribed by Slate Board of Accounts 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
HC O C Tcb Purchase Order No.
1 1 4 Terms
Y) d 1 o1'i S 5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
`I 10 Cft42o10 IGD
Aq u Allirlum 2s,00
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accorda6ae
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
M CO C ofNe And l e�
IN SUM OF
1114 E,
Zr.d;V\4t)is,j N X6205
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
C 20 35 s a 0 5.40 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 1 p
gnature
Director of Redevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund