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160275 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 356880 Page 1 of 1 ONE CIVIC SQUARE CALDERON BROTHERS VENDING CO t ¢I CHECK AMOUNT: $163.66 CARMEL, INDIANA 46032 9702E 30TH STREET INDIANAPOLIS IN 46229 -1030 CHECK NUMBER: 160275 CHECK DATE: 6/10/2008 DEPARTMENT ACCOUNT PO NUM INVOIC NUMBER AM DES 1160 4355100 60409700 163.66 PROMOTIONAL FUNDS i Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 6/9/-8 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)) 5/30/08 60409700 Coffee supplies for Mayor's kitchen $163.66 Total $163.66 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. 6/9/08 ALLOWED 20 Calderon Brothers Vending Co. IN SUM OF y •9702 30th St. Indianapolis IN 46229 -0099 __1_63.6 6 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 60409700 4355100 $163.66 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 Cost distribution ledger classification if Title claim paid motor vehicle highway fund