191089 10/26/2010 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
h ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERy
CARMEL, INDIANA 46032 5201 E MAIN STREET CHECK AMOUNT: $13,235.64
CARMEL IN 46033 CHECK NUMBER: 191089
CHECK DATE: 10/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 SEPT10 13,235.64 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: 10 /5/10
FUNCTION: Breakfast /Snacks September BILLTO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
376 Free $0.00 $0.00
180 Reduced $0.30 $54.00
1,950 Paid $1.25 $2,437.50
TOTAL $2,491.50
After School Snacks
1,367 Free $0.00 $0.00
450 Reduced $0.33 $148.50
16,054 Paid $0.66 $10,595.64
TOTAL $10,744.14
GRAND TOTAL $13,235.64
Purdt,ase
Descriptiorti P or F n
P.O. V
r
O.L. C1 1
Budget
Line U escr Date
Purchaser Dete 40
Approval
9w
OCT U 3 2010
BY:
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(s)) PO Amount
1015110 Sep'10 Breakfast/Snacks Sep'10 13,235.64
Total 13,235.64
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 T
Clerk- Treasurer
Voucher No. Warrant No.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of
13,235.64
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1081 -99 Se '10 4239040 13,235.64 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
21 -Oct 2010
Signature
13,235.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund