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164210 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361417 Page 1 of 1 ONE CIVIC SQUARE DIPPIN DOTS INC o CHECK AMOUNT: $59:80 CARMEL, INDIANA 46032 Po eox 2121 MEMPHIS TN 38159 CHECK NUMBER: 164210 CHECK DATE: 9/30/2008 DEPARTMENT ACCOUNT `i PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239040 128815 59.80 FOOD BEVERAGES 5 t •••HISTORICAL•`• °E° �1NV,QI E���a IN128815 Dippin' Dots Inc. 5101 CHARTER OAK DRIVE D 6/20/2008 PADUCAH KY 42001 S E P 0 8 2008 Bill to: Ship to: CARMEL CENTRAL PARK CARMEL CENTRAL PARK MONON CENTER CENTRAL PARK MONON CENTER CENTRAL PARK 1235 CENTRAL PARK DRIVE EAST 1235 CENTRAL PARK DRIVE EAST CARMEL IN 46032 CARMEL IN 46032 /Purchase t3rder'ID� #g Customer tG7 6 person d lD F 5hi in P/lethvd Pa mentTerms�lp D JUPS Net 10 ;,�U3f_ill .�v, Item iVE rClbtr d i �'b I �ifOn '3 �E v p n r =�.5 n ro a 'ro_ y U, f,M tltscount Unit Pnce Ext.Pnce__ 4 F? m.� 1 DC5SZ CUPS SOZ LOGO #SD5T0011 CASE $0.00 $59.80 $59.80 1 vc5SZ SHIP CUPS 5OZ LOGO 4S05T CASE $0.00 $0.00 $0.00 tea- $59.80 $0.00 T y� $0.00 Fr i 5N $0.00 TrRi n $0.00 $59.80 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 361417 Dippin Dots, Inc. Purchase Order No. P.O. Box 2121 Terms Memphis, TN 38159 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) 6/20/08 IN128815 Concessions Food /Beverage Amount 59.80 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance 59.80 with IC 5- 11- 10 -1.6 20 Clerk- Treasurer �S Voucher No. Warrant No. 361417 Dippin Dots, Inc. Allowed 20 P.o. Box 2121 Memphis, TN 38159 In Sum of 59.80 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 IN128815 4239040 59.80 1 hereby certify that the attached invoice(s), or 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 15 -Sep 2008 Signature 59.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund it