174082 06/24/2009 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: $53.00
1 L s MERRIAM KS 66202
CHECK NUMBER: 174082
CHECK DATE: 6124/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
852 5023990 60413580 53.00 OTHER EXPENSES
`1
w
601 (1b, I 113 13 11 6u.4 135w) 0 1 ICJ 1113
I
i N 1. A Nil H'll:A
h-4. IN 46229
k ill) 09 1T' 543-5795
Reir; [",10:
IREAJ AMERICA I 00IJ SLINICI:
8500 SHAWNEE MISSION PKWY
MIERRIM, 60 66202
372602
C.ARMFL POLICE 18"MIMBI
3 civic S011.1114 V:
CAPMEL IN 461132
31!5712518
1 tell 11,11 LULIt' UUsLl if)UOII Qty TPR Pi ite Total
(GA i 111 1 1 i t I t Itk1,: i'i� M I I M A S I I R 01 FNO 42,' 1 1 76 11
9991 MEM-RIS) '�tRVIU-D ;uNll CL 11. DII (I till
6-u :33.
Sub total 63.
lotal Nlt: 53.
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 261 (Rev. 1995
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 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))
6/12/09 60413580 payment for coffee 53.00
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'!'eat America Food Services IN SUM OF
8500 Shawnee Mission Parkway
Merriam, KS 66202
53.00
ON ACCOUNT OF APPROPRIATION FOR
polic giftcf fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 60413580 852 53.00 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
June 17 20 Og
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund