HomeMy WebLinkAbout170423 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
0 ONE CIVIC SQUARE HCO COFFEE TEA INC
CHECK AMOUNT: $116.90
CARMEL, INDIANA 46032 1114 E 52ND ST
INDIANAPOLIS IN 46205
CHECK NUMBER: 170423
CHECK DATE: 4/1/2009
r t
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOU DESCRIPT T
X02 4346500 3657 116.90 CITY PROMOTION ADVERT
HCO COFFEE TEA, INC.
1114 E. 52ND STREET
%NDIANAPOLIS, IN 46205 Invoice Number: 3657
Invoice Date: Mar 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 PU' Payment Terms
CARMEL REDEVELOPMENT Net 30 Days
Sales Rep 1D Shipping Method "Ship Date. Due,Date
MCMAHON Hand Deliver 2/23/09 4/8/09
Quantity Item Description Unit Price... Amount
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
Subtotal 116.90
Sales Tax 8.
Total Invoice Amount I 125.08
Check /Credit Memo No: Payment /Credit Applied
TOTAL 125.08
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
�n 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
Purchase Order No.
Terms
�ho�4�v� s /'t/ �f� �o S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total /Z S
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
3 5'v�
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9D2 6 573'(d54o' bill(s) is (are) true and correct and that the
9j) materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund