175184 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY CHECK AMOUNT: $19.58
MERRIAM KS 66202
CHECK NUMBER: 175184
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 60413805 19.58 OTHER MISCELLANOUS
604 BILL 0711012009 12:38 60413805 Original
01=1 1 CL F2LF (IESIiMLN I SPLC I AL I S 1 5,
CONVf N I L BY FREA I AMERICA
9702 E. 30th St. Indianapolis, IN 46229
(317)-899-1234 (800)-543 -5795
Remit To:
TREAT AMERICA FOOD SERVICES
8500 SHAWNEE MISSION PRWY
MERRIAM, KS 66202
#60413805
372602
CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE
CARMEL IN 46032
3175712548
Item Bar code r Description Qty TPR Price Total
0657 5267424002 CREAMER 120Z SHAKER(24112 0 +9 1. °5 15.15
0186 5267424003 SUGAR CANNISTER (24-20OZ) 0.2 1.92 3.83
9993 POT(S) EXCHANGED 1 -0 0.00 0.00
1+11 19.58
I
Sub total 19.58
Total Due 19.58
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P�sc! 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
`4 Treat America Food Services Purchase Order No.
8500 Shawnee Mission Parkway Terms
Merriam, KS 66202 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/10/09 60413805 p ayment for cream and sugar 19.58
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
T est America Food Services
IN SUM OF
8500 Shawnee Mission Parkway
Merriam, KS 66202
19.58
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 60413805 390 -99? 19.58 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
July 15 2009
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund