HomeMy WebLinkAbout204419 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
0 ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $79.17
MERRIAMKS 66062
CHECK NUMBER: 204419
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4239099 646129 79.17 OTHER MISCELLANOUS
"Treat America Food Services"
"8500 Shawnee Mission Parkway"
"Merriam"
"KS"
"66062"
"(913) 384-4900"
"Fax (913) 671-7633
INVOICE #646129
ROUTE 70604 70604
DRIVER 70045 FIELD, WILLIAM
1112912011 11 :47am
Treat America
9702 East 30th Street
Indianapolis, IN 46229
CUSTOMER 372600
CARMEL CITY HALL -MAYOR
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM
CC PRICE QTY AMOUNT
[55653] CALDERON 100Y (4211.750Z) 17317
42 32.31 2 64.62
[56605] COFFEE -MATE CANISTER 11 OZ. 55882
1 2.57 2 5.14
[70203] DELIVERY CHARGE
1 5.00 1 5.00
[56607] COFFEE-MATE HAZELNUT CANISTER 12345
1 4.41 1 4.41
TOTAL DELIVERED 6 79.17
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 79.17
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$79.17
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 646129 42- 390.99 $79.17 I 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
f1 2 Sunday, December 04, 2011
f r
M ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/29/11 646129 $79.17
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
2Q
Clerk- Treasurer