168318 02/03/2009 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SE CHECK AMOUNT: $7,895.29
CARMEL, INDIANA 46032 5201 E 131 ST STREET
CARMEL IN 46033 CHECK NUMBER: 168318
CHECK DATE: 2/3/2009
DEPARTMENT ACCOUN PO NUMBER INVOI NUMBER AMO DESCRIPTIO
1046 4239040 12/08 7,,895.29 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: January 9, 2009
FUNCTION: Breakfast /Snacks December 2008 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
139 Free $0.00 $0.00
2 Reduced $0.30 $0.60
998 Paid $1.25 $1,247.50
1,139 TOTAL $1,248.10
After School Snacks
828 Free $0.00 $0.00
255 Reduced $0.33 $84.15
9,944 Paid $0.66 $6,563.04
11,027 TOTAL $6,647.19
GRAND TOTAL $7,895.29
Purchase
Description
P.O. P
JAf�►�� L�O9 G.L# (Q--A
Budget V�
Purchaser Date C
Approval A& Date'
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No. 19907 F
358595 Carmel Clay Schools Food Nutrition Terms
5201 E. 131 st St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/09 Dec'08 Breakfast/Snacks Dec'08 7,895.29
Total 7,895.29
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk- Treasurer
cher No. Warrant No.
Vend a r --t4- s5v5G5
8595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. 131 st St.
Carmel, IN 46033
In Sum of$
7,895.29
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. CCT #/TITL AMOUNT Board Members
Dept
1046 Dec'08 4239040 7,895.29 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
27 -Jan 2008
Signature
7,895.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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