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CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE NCO COFFEE TEA INC
CHECK AMOUNT: $91.90
�•'ra: CARMEL, INDIANA 46432 7114E 52ND ST
INDIANAPOLIS IN 46205 CHECK NUMBER: 187640
CHECK DATE: 7/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4355100 800999 91.90 COFFEE OFFICE
Invoice
Invoice Number:
HCO Coffee Tea 800999
1114 E. 52nd Street
Indianapolis, IN 46205 Invoice Date:
Jun 29, 2010
Page:
1
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220
Carmel, IN 46032
Customer ID Customer PO Payment Terms
CRD I Net 30 Da
Sa les Rep ID Ship M ethod Ship Date _1w Due _Dat
WILB j Hand Deliver 6/29/10 7129110
Quantity Item Description Unit Price Extension
1.00 CUSTOMIZED PAR -LEVEL INVOICE
1.00 3102270 FIRENZE BLEND 18/2.5oz 43.90 43.90
1.00 895900 FUEL CHARGE 3.50 3.50
1.00 5070270 FIRENZE DECAF 18/2.5oz 44.50 44.50
I
I i
I
Subtotal 91.90
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg Hndlg
AUTHORIZED SIGNATURE DATE REC'D
Total Invoice Amount 91.90
Payment Received 0.00
Check No: TOTAL 91.90
Pre.!;cribell by Slate 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
C O C0f I ee et Purchase Order No.
H14 C. 52 St. Terms
a �Ah m o k s. —I N 16 1 UJ Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 -2 9 -10 9 00 9 99 Co ff Ce 9 011
Total 1 9ob
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.
c� T ALLOWED 20
C O ee �r J ea IN SUM OF
ln �'Io&pU J I N 4M-5
ON ACCOUNT OF APPROPRIATION FOR
Pay from Cash
gn21g355100
Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
$00 4355/0 0 91.9 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
7 -1 20)
Ignature
Director of Redevelopment
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund