180682 12/29/2009 E CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERA
CARMEL, INDIANA 46032 CHECK AMOUNT: $10,514.61
5201E 131ST STREET
CARMEL IN 46033 CHECK NUMBER: 180682
CHECK DATE: 12/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239040 NOV09 10,514.61 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: December
FUNCTION: Breakfast /Snacks November 2009 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
290 Free $0.00 $0.00
96 Reduced $0.30 $28.80
1,437 Paid $1.25 $1,796.25
0 TOTAL $1,825.05
After School Snacks
1,050 Free $0.00 $0.00
546 Reduced $0.33 $180.18
12,893 Paid $0.66 $8,509.38
0 TOTAL $8,689.56
GRAND TOTAL $10,514.61
DEC 1 0 2009
Bud
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 Nutrtion Terms
5201 E. 131 st St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1211109 Nov'09 Breakfast/Snacks Nov'09 23013 F 10,514.61
Total 10,514.61
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
Ducher No. Warrant No.
358595 Carmel Clay Schools Food Nutrtion Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of
10,514.61
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1046 Nov'09 4239040 10,514.61 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
23 -Dec 2009
Signature
10,514.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund