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164172 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 356880 Page 1 of 1 ONE CIVIC SQUARE CALDERON BROTHERS VENDING CO CHECK AMOUNT: $154.00 CARMEL, INDIANA 46032 9702 E 30TH STREET INDIANAPOLIS IN 46229 -1030 CHECK NUMBER: 164172 CHECK DATE: 9/30/2008 DE PARTMENT ACC OUNT PO NUMBER I NVOICE NUMBE AMO DESCRIPTION 1160 4355100 60410751 35.42 PROMOTIONAL FUNDS 852 5023990 60410752 118.58 OTHER EXPENSES rt 604 BILL ,I L006 11:41 6i:410751 0 I CL PFzl 1n_StiMl_N I :,1 -'I I: I AI I I rONVI_N I I_NI_1= BY l;Al I W 10 IN i 9702 F. 30th St. Indianapolis, IN 4Ei224 (317)-899-1234 (800)-543-5195 Rein t To: Caldeion Brothers Vending Co. 9702 E. 30th St. Indianapolis, IN 46229.0099 SA)_E:-, I NVO I i.:F_ If604 1 C1 6 1 372600 CARMEL C 1 I Y HALT. MAYOR'S OFFICE ONE CIVIC SQUARE CARMEL ,IN 46032 3175712448 Item Barcode Des,. iiplion Qty TPR Pi ice Total 2120 17317 CBC 10iIZ 4211.75 OZ I U 25.00 '213.011 (1166 52674240(13 SUGAR CANNISIER (24- '2.002) 1) 3 1.92 5.15 2672 011115000055882 tRFAMFR COFFEEMAII_ 1211 11 2.33 1.6 7 9991 ORCWER(S) SERVUB ANO CI. 1 +0 0.110 11.80 2.5 :35.42 Sub total :35 POn Total Due 35.42. 1 r' r 0 Prescribed _%State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 9/29/08 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)) 9/19/08 60410751 Coffee supplies for Mayor's kitchen $35.42 Total $35.42 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 VOUCHER NO. WARRANT NO. 9/29/08 ALLOWED 20 Calderon Brothers Vending Co. IN SUM OF 9702 E. 30th St. Indianapolis IN 46229 -0099 35.42 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayor 4355100 Promotional Funds Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 60410751 4355100 $35.42 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 ignat4fe Cost distribution ledger classification if Titl claim paid motor vehicle highway fund 604 091191'1008 12 W 604 107;)'2 Of iq i na I --N I Al I I l FW 1 1 702 F. 30th 'It. Indianapolis, IN 461.'2.3 Remit To: Calderon Diotheis Vending Co. 9702 E.-30th St. Indianapolis, IN 46229-11099 SAI I N V 0 1 C. I ttG 04 10 2 372602 CARMEL POLICE D&ARIMEN1 3 CIVIC SQUARE CARMEL A 46032 3175712548 I tem Dar code Description ion uty IPR Price Total 0 1 004300066635 k1i MAS IER BLEND (42 1. 1) 4.0 26.1 111G.00 (1657 526747.002 CREAMER 1202 SIMER(24112 0 -5 1.75 635 (1186 5267424003 SUGAR CANNISIFR (24 0.2 1.42 3.63 9991 DREWB(S) SERVICED AND Cl- 4�0 0.00 0,00 8-7 118.58 Sub total 118.58 PO# Total Due 118.58 /-7 Prescri64by State Board of Accounts City Form No. 201 (Rev. 1995) r. 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 Calderon Brothers Vending Co. Purchase Order No. 9702 East 30th Street Terms Indianap6lis, IN 46229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/19/08 60410752 payment for coffee 118.58 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 kalderon Brothers Vending Co. IN SUM OF 9702 East 39th Street Indianapolis, IN 46229 118.58 ON ACCOUNT OF APPROPRIATION FOR pol ice gift fund Board Members PO #or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 852 60410752 —S--Sz 118.58 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 September 23 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund