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166530 12/09/2008 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERV CARMEL, INDIANA 46032 5201 E 131ST STREET CHECK AMOUNT: $11,177.34 CARMEL IN 46033 CHECK NUMBER: 166530 CHECK DATE: 12/9/2008 DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION .1046 4239040 OCT08 11,177.34 FOOD BEVERAGES i E I Carmel Clay Schools Food Nutrition Service Invoice SCHOOL: Parks and Recreation DATE: November 13, 2008 FUNCTION: Breakfast /Snacks October 2008 BILL TO: Ben Johnson Name: Amy Anderson Address: ESC ORDERED NUM DESCRIPTION COST TOTAL efore School Breakfa! 190 Free $0.00 $0.00 24 Reduced $0.30 $7.20 1,509 Paid $1.2S $1,886.25 1,723 TOTAL $1,893.45 After School Snacks 958 Free $0.00 $0.00 337 Reduced $0.33 $111.21 13,898 Paid $0.66 $9,172.68 15,193 TOTAL $9,283.89 GRAND TOTAL $11,177.34 Desc ptw P ��T�`.� P.O. Q.LO v DEC 0 1 2008 Budget Une DesG pate Purchase Appmd 1 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 Purchase Order No. 358595 Carmel Clay Schools Food Nutrition Terms 5201 E. 131 st St. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/13/08 Oct'08 Breakfast/Snacks Oct'08 11,177.34 Total 11,177.34 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 358595 Carmel Clay Schools Food Nutrition Allowed 20 5201 E. 131 st St. Carmel, IN 46033 In Sum of 11,177.34 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. CCT #/TITLI AMOUNT Board Members Dept 1046 Oct'08 4239040 .11,177.34 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 1 -Dec 2008 q��'h L11J22 Signature 11,177.34 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund