178891 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA
ri +I' CHECK AMOUNT: $160.54
CARMEL, INDIANA 46032 9702E 30TH ST
INDIANAPOLIS IN 46229 CHECK NUMBER: 178891
CHECK DATE: 10/28/2009
L'iEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 640668 58.24 PROMOTIONAL FUNDS
1110 4239099 640669 102.30 OTHER MISCELLANOUS
M
INVOICE #640669
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
10/16/2009 C 02:11pm
Treat America
9702 East 30th Street
Indianapolis, IN 46229
CUSTOMER 372602
CARMEL POLICE DEPT.
3 Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
[0354] MAXWELL HOUSE MASTER BLEND 42/1.1 86635 42 26.50 2 53.00
[0657] AD CREAMER NON--DAIRY 120Z SHAKER 1 1.75 7 12.25
[0722] MAXWELL HOUSE DECAF 42/1.102 39039 42 27.50 1 27.50
[0186] AD SUGAR CANISTER (24/2002) 1 1.91 5 9.55
TOTAL DELIVERED 15 102.30
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 102.30
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescrijead 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
khom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Treat America Purchase Order No.
9702 East 30th Street Terms
Indianapolis, IN 46229 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/16/0 640669 payment for coffee creamer and sugar 102.30
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.
i
ALLOWED 20
Treat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
102.30
ON ACCOUNT OF APPROPRIATION FOR
p olice generla fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 640669 390 -99 102.30 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
October 20 20 09
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
`I X 145
1
INVOICE #640668
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
10/16/2009 01:47pm
Treat America
9702 East 30th Street
Indianapolis, IN 46229
CUSTOMER 372600
CARMEL CITY HALL -MAYOR
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
[17291 CREAMER FRENCH VAN CM (12/1502) 35775 1 4.00 1 4.00
[21181 CALDERON 100 C2 DC (42/1.502) 14751 42 25.00 1 25.00
[2120) CALDERON 100 (42/1.750Z) 17317 42 25.00 1 25.00
[2672] CREAMER ORIG COFFEEMATE (12/110Z)55882 1 2.33 1 2.33
[01861 AD SUGAR CANISTER (24/200Z) 1 1.91 1 1.91
TOTAL DELIVERED 5 58.24
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 58.24
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
i
Presc6@6*by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
•10/26/09
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
�yhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Treat America Purchase Order No.
9702 E. 30th St. Terms
Indianapolis IN 46229 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1011610 640668 a nd ie or Mayor's kitchen $58.24
Total $58.24
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.
10/z6/o9
ALLOWED 20
Treat America IN SUM OF
9702 E. 30th St.
Indianapolis IN 46229
58.24
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
640668 4355100 $58.24 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
lo l," 200
t
Sign a gyre
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund