HomeMy WebLinkAbout172861 05/27/2009 CITY OFCARMEL,INDIANA «Ewoom 362576 Page 1 of 1
ONE CIVIC SQUARE Hco COFFEE u TEA INC
C*0mEL.|womwA 46032 ,,`^e�wo»r CHECK AMOUNT: $xn�oo
INDIANAPOLIS /w^eoa CHECK NUMBER: 172861
CHECK DATE: mun000y
DEPARTM AcoouwT PO NUMBER INVOICE NUMBER AMOUNT osoon|PTmw
902 4355100 3815 25.00 PROMOTIONAL FUNDS
HCO COFFEE TEA, INC. INVOICE
11 14 E. 52ND STREET
INDIANAPOLIS, IN 46205 Invoice Number: 3815
Invoice Date: May 9, 2009
Page:
Voice: 317-251-3316
Fax: 317-217-1953
1 0:
CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street
Suite 220
CARMEL, IN 46032
Custoiner IDCustoiiier PO; a y "e
M "hit,
CARMEL REDEVELOPMENT Net 30 Days
Shi Due ue, at
MCMAHON Hand Deliver 5/9/09 6/8/09
Descrip Yn&P ric e A mount
1.00 HCO AQUALIBRIUM HCO AQUALIBRIUM WATER SYSTEM 25.00 25.00
PROGRAM (MONTHLY)
Subtotal 25.00
Sales Tax X 1,15
Total Invoice Amount 26.75
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
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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
in �n G Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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0
i
Total ,5,00
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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.
f
ALLOWED 20
IN SUM OF
e
LAP 205
ON ACCOUNT OF APPROPRIATION FOR
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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
/l( D 20 v9
Signa Operations
re
Director of
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund