HomeMy WebLinkAbout177064 09/15/2009 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: $72.40
INDIANAPOLIS IN 46205
CHECK NUMBER: 177064
CHECK DATE: 9/15/2009
DEPAR ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
902 4355100 4122 72.40 PROMOTIONAL FUNDS
HCO COFFEE TEA, INC. INVONCE
1114 E. 52ND STREET
INDIANAPOLIS, IN 46205 Invoice Number: 4122
Invoice Date: Sep 9, 2009
Page: 1
Voice: 317 251 -3316 Duplicate
Fax: 317 217 -1953
Bill To ,Ship to
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street
Suite 220
CARMEL, IN 46032
Customer'ID Customer PO. Payment Terms'`
CARMEL REDEVELOPMENT Net 30 Days
SalesRep-1D Y N> SoippingF Met hotl Ship Date d Due Date
MCMAHON Hand Deliver 8/28/09 10/9/09
Quantity `Item,
Description j Unit P rice 4 �Amourt
1.00 HCO AQUALIBRIUM HCO AQUALIBRIUM WATER SYSTEM 25.00 25.00
PROGRAM (MONTHLY)
1.00 HCO SERVICE FEE HCO FUEL CHARGE 3.50 3.50
1.00 HC FIRENZE H &C FIRENZE BLEND 18 COUNT/ 2.5 OZ 43.90 43.90
KIT
Subtotal 72.40
Sales Tax
Total Invoice Amount 72.40
Check /Credit Memo No: Payment /Credit Applied
TOT
qt
AL '72.40
v F!escribe by Slate 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
t✓ �0 7T y �P� Purchase Order No.
Terms
fig 5' Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
i 7 ALLOWED 20
141 IN SUM OF
72, �O
ON ACCOUNT OF APPROPRIATION FOR
X02/ 3 SS /00
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20 0�
Signature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund