169318 03/03/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE RYHECK AMOUNT: $9,565.78
CARMEL, INDIANA 46032 5201 E 131ST STREET
CARMEL IN 46033 CHECK NUMBER: 169318
CHECK DATE: 313/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1046 4239040 JAN 2009 9,565.78 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: February 9, 2009
FUNCTION: Breakfast /Snacks January 2008 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
F
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
152 Free $0.00 $0.00
12 Reduced $0.30 $3.60
1,295 Paid $1.25 $1,618.75
1,459 TOTAL $1,622.35
After School Snacks
930 Free $0.00 $0.00
291 Reduced $0.33 $96.03
11,890 Paid $0.66 $7,847.40
13,111 TOTAL $7,943.43
GRAND TOTAL $9,565.78
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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. 20182 F
358595 Carmel Clay Schools Food Nutrition Terms
5201 E. 131 st St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/09 Jan'09 Breakfast/Snacks Jan'09 9,565.78
Total 9,565.78
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
1 20
Clerk- Treasurer
oucher No. Warrant No.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of
9,565.78
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. kCCT #TTITLI AMOUNT Board Members
Dept
1046 Jan'09 4239040 9,565.78 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
26 -Feb 2008
Signature
9,565.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund