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171219 04/28/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE I SIECK AMOUNT: $11,620.05 CARMEL, INDIANA 46032 5201 E 131 ST STREET CARMEL IN 46033 CHECK NUMBER: 171219 CHECK DATE: 4/2812009 D EPARTMENT ACCOUNT PO NUMBER INV OICE NUMB AM OUNT D ESCRIPTION 1046 4239040 MARCH 2009 11,620.05 FOOD BEVERAGES 0 s 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 228 Free $0.00 $0.00 19 Reduced $0.30 $5.70 1,518 Paid $1.25 $1,897.50 1765 TOTAL $1,903.20 After School Snacks 1,349 Free $0.00 $0.00 373 Reduced $0.33 $123.09 14,536 Paid $0.66 $9,593.76 16,258 TOTAL $9,716.85 GRAND TOTAL $11,620.05 Purchase P.O. P Budget Una D �Ar es�x 1 C n Purchaser Y a APP cc ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 358595 Carmel Clay Schools Food Nutrtion Terms 5201 E. 131st St. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4114/09 Mar'09 Breakfast/Snacks Feb'09 20299 F 11,620.05 Total r$ 11,620.05 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 icher No. Warrant No. 35M5 8595 Carmel Clay Schools Food Nutrtion Allowed 20 5201 E: 131 st St. Carmel, IN 46033 In Sum of 11,620.05 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 Mar'09 4239040 11,620.05 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 22 -Apr 2009 Signature 11,620.05 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund