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156117 02/06/2008 ^R *f CITY OF CARMEL, INDIANA VENDOR: 356880 Page 1 of 1 ONE CIVIC SQUARE CALDERON BROTHERS VENDING CO j o CARMEL, INDIANA 46032 9702 E 30TH STREET CHECK AMOUNT: $149.83 NOiANAPOLIS IN 46229 -1030 CHECK NUMBER: 156117 CHECK DATE: 216/2008 DEPARTMENT ACCOUNT: PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 435.5100 60408425 149.83 PROMO'T'IONAL FUNDS j 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 Calderon Brothers Vending Co. Purchase Order No. 9702 B. 30th Street Terms Indianapolis, IN 46229 --0099 Date Due Invoice Invoice Description Amount. Date Number (or note attached invoice(s) or bill(s)) 1/25/09 60408425 p ayment for coffee 149.83 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 Calderon Brothers Vending Co. IN SUM OF 9702 E. 30th Street Indianapolis, IN 46229 -0099 149.83 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 60408425 551 149.83 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 January 29 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund