192933 12/15/2010 a CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
0 I CHECK AMOUNT: $251.11
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 192933
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVO N UMBER AMOUNT DESCRIPTION
1110 4239099 643776 19.10 OTHER MISCELLANOUS
852 5023990 643776 111.32 OTHER EXPENSES
1160 4355100 643777 120.69 PROMOTIONAL FUNDS
INVOICE #643776
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
12/10/2010 09:54am
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 4 111.32
[56638] AD CREAMER NON -DAIRY 12OZ SHAKER 1 1.85 6 11.10
[56640] AD SUGAR CANISTER (24/20OZ) 1 2.00 4 8.00
TOTAL DELIVERED 14 130.42
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 130.42
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
$111.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
852 643776>A $111.32 I hereby certify that the attached invoice(s), or
I r �fj�� 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, December 10, 2010
Chief of Police
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))
12/10/10 643776 payment for coffee $111.32
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
:NVOICE #643777
tOUTE 70604 70604
)RIVER 70045 FIELD, WILLIAM
.2/10/2010 10:22am
Treat America
9702 East 30th Street
Indianapolis, IN 46229
;USTOMER 372600
"ARMEL CITY HALL -MAYOR
)ne Civic Square
"armel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
[55651] CALDERON 100% C2 DC (42/1.5OZ) 14751 42 25.00 1 25.00
[55663] CALDERON 100% (42/1.75OZ) 17317 42 25.00 2 50.00
[56605] COFFEE -MATE CANISTER 11 OZ. 55882 1 2.45 3 7.35
[56640] AD SUGAR CANISTER (24/20OZ) 1 2.00 2 4.00
[50182] CREAMER FRENCH VAN CM (12/15OZ) 35775 1 4.20 3 12.60
[56752] BIGELOW GREEN TEA 28 CT. 28 5.08 1 5.08
[56750] BIGELOW EARL GREY 28 CT. 28 5.08 1 5.08
[56636] SWEET LOW (4 /400CT) 400 8.95 1 8.95
[60019] 5" STIR STIX 1 2.63 1 2.63
TOTAL DELIVERED 15 120.69
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 120.69
NO PAYMENT RECORDED
"Thank you for your business"
'.USTOMER SIGNATURE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$120.69
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 643777 43- 551.00 $120.69 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, December 10, 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))
12/10/10 643777 $120.69
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