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160781 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 356880 Page 1 of 1 ONE CIVIC SQUARE CALDERON BROTHERS VENDING CO CHECK AMOUNT: $181.66 CARMEL, INDIANA 46032 9702 E 30TH STREET INDIANAPOLIS IN 46229 -1030 CHECK NUMBER: 160781 CHECK DATE: 6/25/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESC 902 4239099 60409707 43.16 OTHER MISCELLANOUS 1110 4355100 60409837 90.26 PROMOTIONAL FUNDS 852 5023990 60409837 32.24 OTHER EXPENSES '1160 4355100 60409876 16.00 PROMOTIONAL FUNDS F Jun 11 08 02:30p RR -AP CEIV 317- 554 -4049 p.3 T OFFICE REFRESHMENT SPECIALISTS CONVENIENCE BY CALDERON 9702 E. 30th St. Indianapolis, IN 46229 (317)- 899 -1234 (800)- 543 -5796 Remit To: Calderon Brothers Vending co, 9702 East 30th St. Indianapolis, IN 46229 -1030 Invoice 60409702 C Customer No.: 465900 Cust. Name CARMEL REDEVELOPEMENT Branch 001 Address Agent No. 604 City CARMEL Agent Name BILL State 46032 IN Date 05/30/2008 Time 15:14 Cast. Phone 3175712787 Item. Barcode Desch 0657 5267424002 CREAMER 1202 I Units Cases Total T P R Price Net Total 2 0 2 1.75 1.75 3.50 9991 BREWER(S) SERVICED AND 0 1 1 0-0()$ 0.0D 0.00 2119 C8C 100% 4211.5 OZ 17318 0 1 42 28.00 28.00 28.00 1641 0005000012345 CREAMER HAZELNUT 12115 OZ 1 0 1 3,83$ 3.83 3.83 1729 0005DOOD35775 CREAMER FRENCH VANILLA 12116 1 0 1 4.00 4.00 4.00 0186 1 0 7 5267424003 SUGAR CANNISTER 2 0 2 1 -92 1.92 3,83 Total 6 2 49 43.16 Total to Pay: 43.16 Remark: PO# Signature bJe,- 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 c c,1 r t1o� ��'a J V ^-c Purchase Order No. 702 C_ 3a4-4, Terms I N 46729 -ooh Date Due Invoice Invoice Description Amount Date Number (or note attached invoices) or bill(s)) r' Total L l 3, 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 VOI:0HER NO. WARRANT NO. Cq ALLOWED 20 IN SUM OF g 7 o a 36 V ON ACCOUNT O 6PFR,1�(�) IAT I 0Z 7 3 1oi Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or b o yZ 31 v Y3, 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 Signature Cost distribution ledger classification if Title 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 Calderon Brothers Vending Co. Purchase Order No. 9702 E. 30th Street Terms Indianapolis, IN 46229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/13/08 60409837 payment for coffee 122.50 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 Cal leron Brothers Vending Co. IN SUM OF 9702 E. 30th Street Indianapolis, IN 46229 122.50 ON ACCOUNT OF APPROPRIATION FOR police general fund police ig f.t fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 60409837 551 90.26 bill(s) is (are) true and correct and that the materials or services itemized thereon for 852 _6D_4DSBa7 852 32.24 which charge is made were ordered and received except June 13 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) `•y ACCOUNTS PAYABLE VOUCHER 6 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)) 6/18/08 60409876 Coffee supplies for Mayor's kitchen $16.00 Total $16.00 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. 6/23/08 ALLOWED 20 Calderon Brothers Vending Co. IN SUM OF 9702 E. 30th St. Indianapolis, IN 46229 -0099 16.00 ON ACCOUNT OF APPROPRIATION FOR 1160 Mayors 4355100 Promotional Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 60409876 4355100 $16.00 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 Si Xf Cost distribution ledger classification if Title claim paid motor vehicle highway fund