191868 11/10/2010 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: $90.09
MERRIAM KS 66202
CHECK NUMBER: 191868
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 29638 5.55 OTHER MTSCELLANOUS
852 5023990 29638 84.54 OTHER EXPENSES
NOV. 2. 2010 7:52AM CRYSTAL FOODS INVOICE NO. 529 P. 2
Treat America Food Services
8500 Shawnee Mission! Parkway Suite 100
Merriam KS 66202
PLEASE RETAIN THIS INVOICE FOR PAYMENT
DRIVER: Lowry, Ryan ACCOUNT NUMBER_ 372602
INVOICE DATE 11/03/10
INVOICE NUMBER: 29638
DELIVER TO: MAIL TO:
Carmel Police Dept. Carmel Police Dept.
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
TERMS Charge
PO
ROUTE: 70603 NEXT DELIVERY DATE:
PRODUCT CSCNT QTY PRICE TOTAL
55521 MAXWELL HOUSE DECAF 42/1.1 OZ 39039 1 1 $28.88 $28.88
55523 MAXWELL HOUSE MASTERBLEND 42/1.1 $66 42 2 $27.83 $55.66
56638 AD CREAMER NON -DAIRY 120Z SHAKER 1 3 $1.85 $5.55
SIGNATURE SUBTOTAL $90.09
TAX
ORDER TOTAL $90.09
REMIT TO: Treat America Food Services
8500 Shawnee Mission Pkwy Suite 100, Merriam, KS 66202
Inquiries? Please call (886y 384 -8237 THANK YOU FOR YOUR BUSINESS!
Prescribed by Stale Board of Accounts 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 Food Services Purchase Order No.
8500 Shawnee Mission Parkway, Suite 100 Terms
Merriam;. KS 66202 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 /3/10 29638 payment for coffee, creamer 90.09
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 Food Services IN SUM OF
8500 Shawnee Mission Parkway, Suite 100
Merriam, KS 66202
90.09
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 29638 390 -99 5.55 bill(s) is (are) true and correct and that the
852 29638 852 84.54 materials or services itemized thereon for
which charge is made were ordered and
received except
November 4 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund