177876 09/29/2009 a CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
sta ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES CHECK AMOUNT: $118.98
CARMEL, INDIANA 46032 8506 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 177876
CHECK DATE: 9129/2009
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 640420 25.00 PROMOTIONAL FUNDS
1110 4239099 640421 93.98 OTHER MISCELLANOUS
17,
INVOICE #640421
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
09/18/2009 12:54pm
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 3 79.50
[0657] AD CREAMER NON -DAIRY 120Z SHAKER 1 1.75 5 8.75
[0186] AD SUGAR CANISTER (24/20OZ) 1 1.91 3 5.73
TOTAL DELIVERED 11 93.98
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 93.98
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.
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))
9/18/09 40421 payment for coffee, creamer and sugar 93.98
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
VOU!:. HER NO. WARRANT NO.
ALLOWED 20
Treat America IN SUM OF
9702 E. 30th Street
Indianapolis, IN 46229
93.98
ON ACCOUNT OF APPROPRIATION FOR
police g ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice {s or
1110 640421 390 -99 93.98 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
September 22 20 09
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
-t.
INVOICE #640420
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
09/18/2009 12:36pm
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
[2120] CALDERON 100% (4211.75OZ) 17317 42 25.00 1 25.00
TOTAL DELIVERED 1 25.00
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 25.00
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Pres;rige'd 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
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))
9/18/09 640420 Coffee supplies for Mayor's kitchen $25.00
Total $25.00
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.
A/9R/09
ALLOWED 20
f Treat America IN SUM OF
9702 E. 30th St.
Indianapolis IN 46229
25.00
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
640420 4355100 $25.00 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
/I y�ot �2-j 20 U 7
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund