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HomeMy WebLinkAbout171867 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1 0 ONE CIVIC SQUARE HCO COFFEE TEA INC CHECK AMOUNT: $116.90 ?o CARMEL, INDIANA 46032 1114 E 52ND ST 'tip oN INDIANAPOLIS IN 46205 CHECK NUMBER: 171867 CHECK DATE: 4129/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION 902 4346500 3748 116.90 CITY PROMOTION ADVERT l HCO COFFEE TEA, INC. 11 14 E. 52ND STREET INDIANAPOLIS, IN 46205 Invoice Number: 3748 Invoice Date: Apr 9, 2009 Page: Voice: 317-251-3316 Fax: 317-217-1953 'CARMEL REDEVELOPMENT COMMISSION 7 J30 W. Main Street Suite 220 CARMEL, IN 46032 Cust ID 7 7 71 ;,custorn r R0 yme Terms CARMEL REDEVELOPMENT Net 30 Days ue hiplpinq,keihodf D Ship, W Sa :'ke' Date MCMAHON Hand Deliver 4/7/09 5/9/09 scripbo e D un n Qu a ntity 17� 1.00 HCO AQUALIBRIUM HCO AQUALIBRIUM WATER SYSTEM 25.00 25.00 PROGRAM (MONTHLY) 1.00 HC FIRENZE H&C FIRENZE BLEND 18 COUNT/ 2.5 OZ 43.90 43.90 KIT 1.00 HC FIRENZEDECAF FIRENZE DECAF BLEND 18 COUNT/2.5 44.50 44.50 Oz 1.00 HCO SERVICE FEE HCO FUEL CHARGE 3.50 3.50 1.00 DD BUNNFILTER1 BUNN WIDE BASE FILTERS 500 COUNT Subtotal 116.90 Sales Tax ____8_r8_ Total Invoice Amount 125.08 Check /Credit Memo No: Payment/Credit Applied TOTAL y T 7 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER 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 nn D g- -f T d Purchase Order No. //W 2 51 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) '90 Total �U 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 L/355 0 v Board Members PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or W2 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 Z7 20 Sign ture TitIe Cost distribution ledger classification if claim paid motor vehicle highway fund