191389 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $84.32
MERRIAM KS 66202
CHECK NUMBER: 191389
CHECK DATE: 10/27/2010
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 643330 84.32 PROMOTIONAL FUNDS
k
INVOICE #643330
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
10/15/2010 11:54am
Treat America
9702 East 30th Street
Indianapolis, IN 46229{
CUSTOMER 372600 1,
CARMEL CITY HALL -MAYOR
One Civic Square r"
Carmel, IN 46032
TERMS: CHARGE
E
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
[55653] CALDERON 100% (42/1.7502) 17317 42 25.00 2 50.00
[56605] COFFEE -MATE CANISTER 11 OZ. 55882 1 2.33 4 9.32
[55651] CALDERON 100% C2 DC (42/1.50Z) 1 42 25.00 1 25.00
TOTAL DELIVERED 7 84.32
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 84.32
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
e
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$84.32
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 643330 43- 551.00 $84.32 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, October 22, 2010
ayor
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))
10/15/10 643330 $84.32
1 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