177529 09/28/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE %ECK AMOUNT: $8,663.28
CARMEL, INDIANA 46032 5201 E 131ST STREET
CARMEL IN 46033 CHECK NUMBER: 177529
CHECK DATE: 9/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239040 AUG09 8,663.28 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: September 4, 2009
FUNCTION: Breakfast /Snacks August 2009 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
157 Free $0.00 $0.00
89 Reduced $0.30 $26.70
1134 Paid $1.25 $1,417.50
TOTAL $1,444.20
After School Snacks
746 Free $0.00 $0.00
444 Reduced $0.33 $146.52
10716 Paid $0.66 $7,072.56
TOTAL $7,219.08
GRAND TOTAL $8,663.28
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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
9/4/09 Aug'09 Breakfast/Snacks Aug'09 8,663.28
Total 8,663.28
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
Voucher No. Warrant No.
358595 Carmel Clay Schools Food Nutrtion Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of
8,663.28
t ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Au '09 4239040 8,663.28 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
24 -Sep 2009
L A&Wym/ n/�
Signature
8,663.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund