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161295 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 356880 Page 1 of 1 ONE CIVIC SQUARE CALDERON BROTHERS VENDING CO CARMEL, INDIANA 46032 9702 E 30TH STREET CHECK AMOUNT: $54.67 w off INDIANAPOLIS IN 46229 -1030 CHECK NUMBER: 161295 CHECK DATE: 7/11/2008 DEPAR TMENT ACCOUNT PO NUMBER I NVOICE NUMBER A MOUNT DESCRI 1160 4355100 60409972 54.67 PROMOTIONAL FUNDS Prescn2ed by State Board of Accounts City Form No. 201 iRev. 1995) ACCOUNTS PAYABLE VOUCHER 7/7/08 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 Calderon Brothers Vending Co. Purchase Order No. 9702 E. 30th St. Terms Indianapolis IN 46229 -0099 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/ 27/08 6040 72 Coffee supplies for Mayor's kitchen $54.67 Total $54.67 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. VOUCHER ALLOWED 20 Calderon Brothers Vending Co. IN SUM OF 9702 E. 30th St. Indianapolis IN 46229 54.67 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4355100 Promotional Funds Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 6040 72 4355100 $54.67 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 20 Sia naW re Cost distribution ledger classification if Title claim paid motor vehicle highway fund