208173 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD NUTRITION SERY
CARMEL, INDIANA 46032 CHECK AMOUNT: $13,288.20
5201 E MAIN STREET
CARMEL IN 46033 CHECK NUMBER: 208173
CHECK DATE: 4/24/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 040512 13,288.20 FOOD BEVERAGES
Carmel Clay Schools Food Nutrition Service Invoice
SCHOOL: Parks and Recreation DATE: 4/5/2012
FUNCTION: Breakfast /Snacks March 2012 BILL TO: Ben Johnson
Name: Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
566 Free $0.00 $0.00
68 Reduced $0.30 $20.40
2,223 Paid $1.25 $2,778.75
TOTAL $2,799.15
After School Snacks
2,017 Free $0.00 $0.00
375 Reduced $0.33 $123.75
15,705 Paid $0.66 $10,365.30
TOTAL $10,489.05
GRAND TOTAL $13,288.20
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Approval Date BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No,
358595 Carmel Clay Schools Food Nutrition Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/5/12 Marl Breakfast/Snacks Mar'12 30649 13,288.20
Total 13,288.20
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.
358595 Carmel Clay Schools Food Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of
13,288.20
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Mar'12 4239040 13,288.20 1 hereby certify that the attached invoice(s), or
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
12 -Apr 2012
Signature
13,288.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund