191961 11/22/2010 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
4 ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERA
CARMEL, INDIANA 46032 5201 E MAIN STREET CHECK AMOUNT: $11,752.16
ti 'oN co CARMEL IN 46033 CHECK NUMBER: 191961
CHECK DATE: 11/22/2010
DEPARTMENT ACC OUNT PO NU MBER I NVOICE NUMBE AMOUNT DESCRIPTION
1061 4239040 OCT10 11,752.16 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: 11/3/2010
FUNCTION: Breakfast /Snacks October 2010 BILLTO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
368 Free $0.00 $0.00
182 Reduced $0.30 $54.60
1,687 Paid $1.25 $2,108.75
TOTAL $2,163.35
After School Snacks
1,365 Free $0.00 $0.00
397 Reduced $0.33 $131.01
14,330 Paid $0.66 $9,457.80
TOTAL $9,588.81
GRAND TOTAL $11,752.16
Purchase,
Description p or F
P.O.
G.t..
Bud et
g
Line Desch
Purchaser Date
s
App. 2010 L,
1 4 D
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
1113110 Oct' 10 Breakfast/Snacks Oct'10 11,752.16
Total 11,752.16
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
1 20
Clerk Treasurer
I
Voucher No. Warrant No.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of
11,752.16
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Oct' 10 4239040 11,752.16 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
18 -Nov 2010
Signature
11,752.16 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund