HomeMy WebLinkAbout168993 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE TEA INC
CARMEL, INDIANA 46032 1114 E 52ND ST CHECK AMOUNT: $25.00
INDIANAPOLIS IN 46205 CHECK NUMBER: 168993
CHECK DATE: 2/17/2009
i'
DEPARTMENT ACC P NUMBER INVO NUMBER AMOUNT DESCRIPTION
902 4350900 3520 25.00 OTHER CONT SERVICES
HCO COFFEE TEA, INC. Q W U IE
1114 E. 52ND STREET
INDIANAPOLIS, IN 46205 Invoice Number: 3520
Invoice Date: Jan 9, 2009
Page: 1
Voice: 317 251 -3316
Fax: 317 217 -1953
Bill To: Ship to:
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street
Suite 220
CARMEL, IN 46032
Customer ID Customer PO Payrp Terms
CARMEL REDEVELOPMENT Net 30 Days
Sales Rep ID Shipping Method Ship Date` Due Date
MCMAHON Hand Deliver 1/9/09 2/8/09
.;:Quantity_ Item Description ro Unit Price Amoun
1.00 HCO AQUALIBRIUM HCO AQUALIBRIUM WATER SYSTEM 25.00 25.00
PROGRAM (MONTHLY)
Subtotal 25.00
Sales Tax r75
Total Invoice Amount 36-75
Check /Credit Memo No: Payment /Credit Applied I{
"TOTAL" 26:75
r
o clitb3by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or 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
C I e Purchase Order No.
5�1 r, Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3t;
Total S -00
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
co IN SUM OF
5 7, 74
20S
25_�D
ON ACCOUNT OF APPROPRIATION FOR',
�,So4Q,a
Board Members
PO# or
DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
�5:0-0 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
Pw 20 6
u Signatur
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund