206469 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
4 CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $516.10
MERRIAM KS 66062
CHECK NUMBER: 206469
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 4002652 142.84 PROMOTIONAL FUNDS
1401 4355100 4002653 373.26 PROMOTIONAL FUNDS
INVOICE
Treat America Food Services
8500 Shawnee Mission Parkway Suite 100
Merriam KS 66202
PLEASE RETAIN THIS INVOICE FOR PAYMENT
DRIVER: Newsome, Ken ACCOUNT NUMBER 372600
INVOICE DATE 02/01/12
INVOICE NUMBER: 4002652
MAIL TO: DELIVER TO:
Carmel City Hall Carmel City Hall Mayor's Offic
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Mayor's Office
TERMS Charge
PO
ROUTE: 70611 NEXT DELIVERY DATE: 02/02/12
PRODUCT CSCNT QTY PRICE TOTAL
55564 AD CF 100% COLOMBIAN 1.75 #1604 42 3 $33.51 $100.53
60019 5" STIR STIX 1 1 $2.76 $2.76
56704 NESTLE HOT CHOC 50 /BOX 50 1 $12.95 $12.95
56605 COFFEE -MATE CANISTER 11 oz. 55882 1 3 $2.57 $7.71
56607 COFFEE -MATE HAZELNUT CANISTER 12345 1 1 $4.41 $4.41
56636 SWEET LOW (4 /400CT) 400 1 $9.40 $9.40
56752 BIGELOW GREEN TEA 28 ct. 28 1 $5.08 $5.08
1
Plz visit Jeff barnes at Mayors offi 1
Contact 571 -2448 1
i
SIGNATURE SUBTOTAL $142.84
TAX
ORDER TOTAL $142.84
REMIT TO: Treat America Food Services
8500 Shawnee Mission Pkwy Suite 100, Merriam, KS 66202
Inquiries? Please call (888) 384 -8237 THANK YOU FOR YOUR BUSINESS!
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/01/12 4002652 $142.84
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
Treat America
IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
$142.84
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1160 4002652 43- 551.00 $142.84 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
Monday, February 13, 2012
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE
Treat America Food Services
8500 Shawnee Mission Parkway Suite 100
Merriam KS 66202
PLEASE RETAIN THIS INVOICE FOR PAYMENT
DRIVER: Newsome, Ken ACCOUNT NUMBER 372601
INVOICE DATE 02/01/12
INVOICE NUMBER: 4002653
MAIL TO: DELIVER TO:
Carmel City Hall Carmel City Hall City Counci
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Mayor's office
TERMS Charge
PO
ROUTE: 70611 NEXT DELIVERY DATE:
PRODUCT CSCNT QTY PRICE TOTAL
55651 CALDERON 100% C2 DC'(42/1.5OZ) 14751 42 4 $43.05 $172.20
55564 AD CF 100% COLOMBIAN 1.75 #1604 42 6 $33.51 $201.06
SIGNATURE SUBTOTAL $373.26
TAX
ORDER TOTAL $373.26
REMIT TO: Treat America Food Services
8500 Shawnee Mission Pkwy Suite 100, Merriam, KS 66202
Inquiries? Please call (888) 384 -8237 THANK YOU FOR YOUR BUSINESS!
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s or bill(s))
ra t 7 i7I
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.
ALLOWED 20
l cf- Cl%� T 1 l'Y� f, �O `�lJ z) I N SUM OF
K9bo �IVULMM
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund