HomeMy WebLinkAbout176621 09/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE TEA INC CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1114 E 52ND ST
INDIANAPOLIS IN 46205 CHECK NUMBER: 176621
CHECK DATE: 9/1/2009
DEPARTMEN ACC OUNT P O NUMBER INVOI NU MBER AMO DES CRIPTION
902 4355100 4044 25.00 PROMOTIONAL FUNDS
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HCO COFFEE TEA, INC. 9HV09CE
11 14 E. 52ND STREET
INDIANAPOLIS, IN 46205 Invoice Number: 4044
Invoice Date: Aug 9, 2009
Page: I
Voice: 317-251-3316 Duplicate
Fax: 317-217-1953
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CARMEL REDEVELOPMENT COMMISSION
�30 W. Main Street
Suite 220
CARMEL, IN 46032
u tomer-11D Cu stom er "o P
CARMEL REDEVELOPMENT Net 30 Days
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MCMAHON Hand Deliver 8/9/09 9/8/09
Am ou n t
1.00 HCO AQUALIBRIUM HCO AQUALIBRIUM WATER SYSTEM 25.00 25.00
PROGRAM (MONTHLY)
Subtotal 25.00
Sales Tax
Total Invoice Amount 25.00
Check/Credit Memo No: Payment/Credit Applied
Prescribed by 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
PCO t!�d ter
r�_IAi Purchase Order No.
Terms
v l- s, //1J `z624��S_ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 2 S UD
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
9'a2�`�'3 SS /CYO
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
g1�2 04� y3SS1o0 ZS:e� 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 0,9
Signature
Cost distribution ledger classification if Itle
claim paid motor vehicle highway fund