173177 06/09/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERA
CARMEL, INDIANA 46032 5201 E 131ST STREET CHECK AMOUNT: $8,213.37
CARMEL IN 46033 CHECK NUMBER: 173177
CHECK DATE: 6/9/2009
D EPARTMEN T ACCOUNT PO NUM BER INV OICE NUMB A MOUNT DESCRIPTION
1046 4239040 041409 8,213.37 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: April 14, 2009
FUNCTION: Breakfast /Snacks March 2009 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
144 Free $0.00 $0.00
8 Reduced $0.30 $2.40
1,065 Paid $1.25 $1,331.25
1217 TOTAL $1,333.65
After School Snacks
966 Free $0.00 $0.00
248 Reduced $0.33 $81.84
10,269 Paid $0.66 $6,777.54
11,483 TOTAL $6,859.38
Extra Billing College Wood
8oz Milk Cartons (left out overnight) 54 $0.2S $13.50
Granola Bars (67 snacks, 103 missing from case) 36 $0.19 $6.84
GRAND TOTAL $8,213.37
Purchase
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Purchaser
Approval
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
4/14/09 Mar'09 Breakfast/Snacks Mar'09 20879 8,213.37
Total 8,213.37
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
ucher No. Warrant No.
35S5C1
58595 Carmel Clay Schools Food Nutrtion Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of
8,213.37
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Mar'09 4239040 8,213.37. 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
4 -Jun 2009
Signature
8,213.37 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund