186545 06/09/2010 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: $141.00
MERRIAM KS 66202
CHECK NUMBER: 186545
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 642238 60.50 PROMOTIONAL FUNDS
1110 4355100 642239 80.50 PROMOTIONAL FUNDS
INVOICE #642238
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
05/28/2010 10:37am
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
[55651] CALDERON 100 C2 DC (42/1.50Z) 14751 42 25.00 1 25.00
[55653] CALDERON 100% (42/1.750Z) 17317 42 25.00 1 25.00
[56636] SWEET LOW (4/400CT) 400 10.50 1 10.50
TOTAL DELIVERED 3 60.50
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 60.50
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
VOUCHER NO' WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$60.50
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 642238 43- 551.00 $60.50 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
Friday,,June 04, 2010
M
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/28/10 642238 $60.50
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
INVOICE #642239
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
05/2812010 10:53am
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
[55523] MAXWELL HOUSE MASTERBLEND 42/1.1 86635 42 26.50 2 53.00
[55521] MAXWELL HOUSE DECAF 42/1.1 OZ 39039 42 27.50 1 27.50
TOTAL DELIVERED 3 80.50
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 80.50
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 261 (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
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))
5/28/10 642239 payment for coffee 80.50
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
Treat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
80.50
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
p INVOICE NO. ACCT /TiTLE AMOUNT I hereby certify that the attached invoice(s), or
1110 642239 551 80.50 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
June 3 20 10
0 P h -4.1-
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund