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190020 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1 ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $90.16 CARMEL, INDIANA 46032 MERRIAM KS 66202 CHECK NUMBER: 190020 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 643002 10.66 OTHER MISCELLANOUS 852 5023990 643002 79.50 OTHER EXPENSES NVOICE #643002 OUTE 70604 70604 RIVER 70045 FIELD, WILLIAM 9103/2010 10:12am Treat America 9702 East 30th Street Indianapolis, IN 46229 USTOMER 372602 ARMEL POLICE DEPT. Civic Square armel, IN 46032 ERMS: CHARGE DELIVERED PIN] ITEM CC PRICE QTY AMOUNT 55523] MAXWELL HOUSE MASTERBLEND 42/1.1 86635 42 26.50 3 79.50 566381 AD CREAMER NON -DAIRY 120Z SHAKER 1 1.75 5 8.75 56640] AD SUGAR CANISTER (24/20OZ) 1 1.91 1 1.91 TOTAL DELIVERED 9 90.16 TAX EXEMPT TOTAL DEPOSIT .00 INVOICE TOTAL 90.16 NO PAYMENT RECORDED Thank you for your business" USTOMER SIGNATURE: fir 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)) 9 643002 payTent for coffee, creamer and sugar 90.16 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 TOUCHER NO. WARRANT NO. ALLOWED 20 Treat America IN SUM OF 9702 East 30th Street Indianapolis, IN 46229 90.16 ON ACCOUNT OF APPROPRIATION FOR police general fund police gift fund Board Members P©# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 643002 390 =99 10.66 bill(s) is (are) true and correct and that the materials or services itemized thereon for 852 643002 852 79.50 which charge is made were ordered and received except September 3 20 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund