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HomeMy WebLinkAbout178428 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1 ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $106.00 CARMEL, INDIANA 46032 8500 SIIAWNEE MISSION PARKWAY MERRIAM KS 66202 CHECK NUMBER: 178428 CHECK DATE: 1011412009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION ;;1110 4239099 640534 106.00 OTHER MTSCELLANOUS 1 INVOICE #640534 ROUTE 604 604 DRIVER 239 FIELD, WILLIAM 10/02/2009 12:12pm 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 4 106.00 TOTAL DELIVERED 4 106.00 TAX EXEMPT TOTAL DEPOSIT .00 INVOICE TOTAL 106.00 NO PAYMENT RECORDED "Thank you for your business" CUSTOMER SIGNATURE: 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. 1 Payee Treat America Purchase Order No. 9702 Esat 30th Street Terms Indianapolis, IN 46229 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/2/09 640534 payment for coffee 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 VCJJCHER NO, WARRANT NO. ALLOWED 20 Treat America IN SUM OF 9702 East 30th Street Indianapolis, IN 46229 106.00 ON ACCOUNT OF APPROPRIATION FOR police general furidd Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. hereby certify I hb rti that the invoice(s), or f e a nvo l 1110 640534 390 -99 106.00 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 7 20 09 Signature Chi of of Pol i re Title Cost distribution ledger classification if claim paid motor vehicle highway fund