176959 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
d ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
CARMEL, INDIANA 46032 8560 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $248.90
MERRIAM KS 66202
CHECK NUMBER: 176959
CHECK DATE: 9!2!2009
DEPARTME ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPT
1110 4239099 640189 183.91 OTHER MISCELLANOUS
1160 4355100 640190 64.99 PROMOTIONAL FUNDS
i;
u
INVOICE #640189
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
08!121/2009 12:35pm
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
[0657] AD CREAMER NON -DAIRY 120Z SHAKER 1 1.76 12 21.00
[0722] MAXWELL HOUSE DECAF 42/1.10Z 39039 42 27.60 2 55.00
[0186] AD SUGAR CANISTER (24/20OZ) 1 1.91 1 1.91
TOTAL DELIVERED 19 183.91
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 183.91
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribe '-y 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))
8/21/09 640189 payment for coffee 183.91
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.
J
ALLOWED 20
T reat America IN SUM OF
9702 East 30th Street
Indianapolis, IN 46229
183.91
ON ACCOUNT OF APPROPRIATION FOR
police generla fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 640189 390 -99 183.91 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
AUgust 24 20 09
-A"'X-b
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
INVOICE #640190
ROUTE 604 604
DRIVER 239 FIELD, WILLIAM
08121/2009 12:56pm
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
12118] CALDERON 100% C2 DC (42/1.50Z) 14751 42 25.00 1 25.00
[2120] CALDERON 100% (42/1.75OZ) 17317 42 25.00 1 25.00
[1641] CREAMER HAZELNUT CM (12/15OZ) 12345 1 4.00 1 4.00
[2672] CREAMER ORIG COFFEEMATE (12/11OZ)55882 1 2.33 3 6.99
[1729] CREAMER FRENCH VAN CM (12/150Z) 35775 1 4.00 1 4.00
TOTAL DELIVERED 7 64.99
TAX EXEMPT
TOTAL DEPOSIT .00
INVOICE TOTAL 64.99
NO PAYMENT RECORDED
"Thank you for your business"
CUSTOMER SIGNATURE:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
8/31/09 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
4 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))
8/21/09 640190 Coffee supplies for Mayor's kitchen P64.99
Total 64.9 9
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.
8/31/09
ALLOWED 20
Treat America
IN SUM OF
9702 F. 30th Street
Indianapolis IN 46229
64.99
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional Funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. N 1 hereby certify that the attached invoice(s), or
640190 4355100 $64.99 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 D
Sign' ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund