173687 06/22/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page I of I
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE %ECK AMOUNT: $14,301.01
o CARMEL, INDIANA 46032 5201 E 131ST STREET
CARMEL IN 46033 CHECK NUMBER: 173687
CHECK DATE: 6/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239040 MAY 2009 14,301.01 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: June 8, 2009
FUNCTION: Breakfast /Snacks May 2009 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
1090 Free $0.00 $0.00
267 Reduced $0.30 $80.10
10,736 Paid $1.25 $13,420.00
12093 TOTAL $13,500.10
After School Snacks
199 Free $0.00 $0.00
13 Reduced $0.33 $4.29
1,207 Paid $0.66 $796.62
1,419 TOTAL $800.91
Extra Billing
GRAND TOTAL $14,301.01
per
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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 Wa'O Description
Date ached invoice(s) or bill(s)) PO
or note attached Amount
Da
6/8/09 Breakfast/Snacks Ma '09
20903 14,301.01
Total 14,301.01
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
1 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
14,301.01
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1046 Ma '09 4239040 14,301.01 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
18 -Jun 2009
Signature
14,301.01 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund