192271 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
0 ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $113.86
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 192271
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 643566 58.20 PROMOTIONAL FUNDS
852 5023990 643567 55.66 OTHER EXPENSES
INVOICE #643567
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
11/12/2010 10:03am
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
[55523] MAXWELL HOUSE MASTERBLEND 42/1.1 86635 42 27.83 2 55.66
TOTAL DELIVERED 2 55.66
TAX EXEMPT
TOTAL DEPOSIT 00
INVOICE TOTAL 55.66
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribed by State 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 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))
11/12110 643567 payment for coffee 55.66
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 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
55.66
ON ACCOUNT OF APPROPRIATION FOR
police gif fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 643567 852 55.66 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
November 16 20 10
*WhA-1X- -b.
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
INVOICE #643566
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
11/12/2010 09:40am
Treat America
9702 East 30th Street
Indianapolis, IN 46229
CUSTOMER 372600
CARMEL CITY HALL -MAYOR
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
[55653] CALDERON 100% (42/1.75OZ) 17317 42 25.00 1 25.00
[55651] CALDERON 100% C2 DC (42/1.502) 14751 42 25.00 1 25.00
[50182] CREAMER FRENCH VAN CM (12/15OZ) 35775 1 4.20 1 4.20
[56640] AD SUGAR CANISTER (24/2002) 1 2.00 2 4.00
TOTAL DELIVERED 5 58.20
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 58.20
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$58.2.0
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 643566 43- 551.00 $58.20 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, November 19, 2010
yjr If
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))
11/12/10 643566 $58.20
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