188558 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $107.00
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 188558
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 642677 107.00 OTHER EXPENSES
INVOICE #642677
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
07/23/2010 10:56am
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 3 79.50
[55521} MAXWELL HOUSE DECAF 42/1.1 OZ 39039 42 27.50 1 27.50
TOTAL DELIVERED 4 107.00
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 107.00
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
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
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))
7/23110 642677 payment for coffee 107.00
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
T reat ::America
IN SUM OF
9702 East 30th Street
lndi=polls, IN 462ZV
107.00
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 642677 852 107'100 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
July 23 20 10
&,�kmx 1
Signature
Chief of Pol ce
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund