189635 09/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE %ECK AMOUNT: $9,627.60
s! CARMEL, INDIANA 46032 5201 E MAIN STREET
CARMEL IN 46033 CHECK NUMBER: 189635
CHECK DATE: 9113/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 08 /10 9,627.60 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: 9/03/10
FUNCTION: Breakfast /Snacks August 2010 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
222 Free $0.00 $0.00
139 Reduced $0.30 $41.70
1,437 Paid $1.25 $1,796.25
TOTAL $1,837.95
After School Snacks
813 Free $0.00 $0.00
301 Reduced $0.33 $99.33
11,652 Paid $0.66 $7,690.32
TOTAL $7,789.65
GRAND TOTAL $9,627.60
D 11 V
SEH 10 2010
BY-
Purchase L
Description
P.O. C P oQ�l L.J
G.L.
Budget
Line Descr
Purchaser 1 Date
Approval a t e
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358595 Carmel Clay Schools Food Nutrition Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill PO Amount
9/3110 Au '10 Breakfast/Snacks Aug'10 9,627.60
Total 9,627.60
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.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of
9,627.60
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Au '10 4239040 9,627.60 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
9 -Sep 2010
Signature
9,627.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund