211198 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1
` ONE CIVIC SQUARE ARAMARK CHECK AMOUNT: $117.03
CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100
.or INDIANAPOLIS IN 46268 CHECK NUMBER: 211198
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4350900 9992470 117 . 03 OTHER CONT SERVICES
0
Send Payment To:
8435 Georgetown Road #100
Indianapolis, IN 46268
(317) 396-1921
(317) 396-2658
INVOICE #9992470
ROUTE 77 .... RT 77-OCS MATTHEW M
DRIVER 77 ... MATTHEW MATZ
07/2712012 @ 03:24pm
CUSTOMER 26279 Next scheduled Fr 08124112
CARMEL DEPART. OF COMMUINITY
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
---------- -- ----- --- ------
[1761] CORY SEQUOIA DARK 4212.0 1 49.00 2 98.00
[1007] LIPTON TEA 10OCT 1 6.92 1 6.92
11051 COFFEEMATE CANISTER 11OZ 1 3.55 1 3.55
,6881 COFFEEMATE HAZELNUT 160Z 1 4.28 2 8.56
TOTAL DELIVERED 6 117.03
TOTAL DEPOSIT .00
INVOICE TOTAL 117.03
NO PAYMENT RECORDED
This Administrative Charge is to
offset operating costs and is not
intended to be a tip, gratuity or
service charge for the benefit of
the employee.
CUSTOMER SIGNATURE:
1
ARS - CheckOut Order Confirmation Page 1 of 2
,*-ARA"K
Refreshment Services
CONFIRMATION
Thank you for your order.We appreciate your business!
A copy of this order confirmation has been sent to
Istewart@carmel.in.gov.
Expected delivery date:July 27,2012
Purchase Date:July 24,2012
Bill summary Delivery to:
'Subtotal $117.03 Carmel Depart.of Commuinity
One Civic Square
Carmel,IN 46032
Products 4
Unit
Coffee,Tea&Cocoa Quantity Size Price Total
Cory Sequoia Dark,2.Ooz Portion Packs 2 Box of 42 Portion Packs $49.00 $98.00
yo.
^iY1
Lipton Black Hot Tea 1 Box of 100 $6.92 $6.92 1�
Cream,Sugar&More
CoffeeMate 15 oz Canister Hazelnut 2 15 oz Canister $4.28 $8.56 / 0
•✓V
CoffeeMate 11 oz Canister 1 11 oz Canister $3.55 $3.55
Discount -$0.00 Subtotal $117.03
'This subtotal amount does not include any applicable taxes,administrative charges,service charges or other fees,which amounts
will be reflected on your invoice.Any administrative charge on your invoice is intended to offset ARAMARK operating costs and is
not a tip,gratuity or service charge for the benefit of our employees.No portion of an administrative charge is shared with our
employees.
https://www.aramarkrefreshments.com/webstore/ordersubmission.action 7/24/2012
'Prescribed by State Board ofAccounts "CityrForm 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
07/27/12 9992470 coffee&supplies $117.03
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
ARAMARK Refreshement Services
IN SUM OF $
8435 Georgetown Road #100
Indianapolis, IN 46268
$117.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 9992470 43-509.00 $117.03 I 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
Friday, July 27, 2012
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund