190986 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $124.30
O
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 190986
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 643223 18.30 OTHER MISCELLANOUS
852 5023990 643223 106.00 OTHER EXPENSES
INVOICE #643223
ROUTE 70604 70604
DRIVER 70046 FIELD, WILLIAM
10/0112010 10:08am.
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
[65523] MAXWELL HOUSE MASTERBLEND 42/1.1 86636
42 26.50 4 106.00
[56638] AD CREAMER NON-DAIRY 1202 SHAKER
1 1.76 6 8.75
[56640] AD SUGAR CANISTER (24/2002)
1 1.91 5 9.55
TOTAL DELIVERED 14 124.30
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 124.30
NO PAYMENT RECORDED
"Thank you for your business"
Prescribed by State Board otAccounis ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
10/1/10 643223 payment for coffee 124.30
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
Treat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
124.30
ON ACCOUNT OF APPROPRIATION FOR
police general fund police gift fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 643223 390 -99 1.8.30 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
852 643223 8 106.00 which charge is made were ordered and
Z received except
October 6 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund