165099 10/28/2008 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: $12,123.83
CARMEL IN 46033 CHECK NUMBER: 165099
CHECK DATE: 10/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMO UNT DESCRIPTION
1046 4239040 SEP 2008 12,123.83 FOOD BEVERAGES
3 x
Clay Schools Food Nutrition Service Invoice
rks and Recreation DATE: October 14, 2008
Breakfast /Snacks September 2008 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
?fore School Breakfast
199 Free $0.00 $0.00
24 Reduced $0.30 $7.20
1,612 Paid $1.25 $2,015.00
1,835 TOTAL $2,022.20
After School Snacks
1,040 Free $0.00 $0.00
385 Reduced $0.33 $127.05
15,113 Paid $0.66 $9,974.58
16,538 TOTAL $10,101.63
GRAND TOTAL $12,123.83
DeseAptM
P.O. P F
Budget
Line e scr uat OCT 1 6 2008
Purch�r C-�
P pproval J_J.� y:
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. q 62:q F
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
10/14/08 Sep'08 Breakfast/Snacks September 08 12,123.83
Total 12,123.83
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.
i
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of
C-
12,123.83
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. kCCT #ITITLI AMOUNT
1046 Sep'08 4239040 12,123.83 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
I
1 -Oct 2008
Signature
12,123.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund