188557 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
0 ONE CIVIC SQUARE TREAT AMERICA
CARMEL, INDIANA 46032 9702 E 30TH ST CHECK AMOUNT: $33.66
INDIANAPOLIS IN 46229
CHECK NUMBER: 188557
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 642676 33.66 PROMOTIONAL FUNDS
INVOICE #642676
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
07/23/2010 10:44am
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
[55653] CALDERON 100% (42/1.750Z) 1.7317 42 25.00 1 25.00
[56605] COFFEE-MATE CANISTER 11 OZ. 55$$2 1 2.33 2 4.66
[56607] COFFEE -MATE HAZELNUT CANISTER 12345 1 4.00 1 4.00
TOTAL DELIVERED 4 33.66
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 33.66
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
VOUCHER NO. WARRANT NO.
Treat America ALLOWED 20
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$33.66
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
?O# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 642676 43- 551.00 $33.66 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, July 30, 2010
Mayor
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))
07/23/10 642676 $33.66
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
1 20
Clerk- Treasurer