173062 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362632 Page 1 of 1
ONE CIVIC SQUARE TREAT AMERICA FOOD SERVICES
i CHECK AMOUNT: $79.50
CARMEL, INDIANA 46032 8500 SHAWNEE MISSION PARKWAY
MERRIAM KS 66202 CHECK NUMBER: 173062
CHECK DATE: 5127/2009
DEPARTMENT ACCOUNT P NU MBER INVOIC NUMBER AM OUNT DESCRI
1110 4355100 60413339 77.42 PROMOTIONAL FUNDS
852 5023990 60413339 2.08 OTHER EXPENSES
604 "BILL 05f151200 1?: 14 604 13339 Of ikjinal
(31-1- 11 I fl:-i i I- I AI.
1 N I F- NI-1 F1 Y I I i1z. A I AMI H' I I- A
9702 E. 30th St. hirikumpolis, IN 46229
(317)-099-12311 (800)-5113-5745
Remi I xi:
IR[Al AIVIFRICA FOOD SERVICES
8500 5,11011EE MISSION PRWY
MERRIIJ41, KS 662112
#b O4 1333 1
372602
CAPMFI- POLICE IIFPARIMENI
3 CIVIC SQUARE
CARMEL ,IN 46032
3175712548
Item lb f code Descl ipt;ufl Oty I PR pf;iU total
0354 1003000813635 W MASTER BLEND (42 1. 1 3`0 26.:10 ?9.50
3`O 79.50
Sub total '19.50
Total Due '79.50
�1
F�escrtb by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
f
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.
e
8500 Shawnee Mission Parkway Terms
Merriam, KS 66202 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
604 1333 9 for coffee 79.50
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 reat America Food Services IN SUM OF
8500 Shawnee Mission Parkway
Merriam, KS 66202
H 79.50
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund police gift fu
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 60413339 551 77.42 bill(s) is (are) true and correct and that the
852 60413339 852 2.08 materials or services itemized thereon for
which charge is made were ordered and
received except
May 18 20()q
Signature
Chief of Pnl i re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund