212495 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1
ONE CIVIC SQUARE ARAMARK
CHECK AMOUNT: $284.82
CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100
INDIANAPOLIS IN 46268 CHECK NUMBER: 212495
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350900 26078 9992075 140 . 28 COFFEE CONTRACT
1205 4238900 26488 9992337 144 . 54 COFFEE & FILTERS
Send Payment To:
8435 Georgetown Road #100
Indianapolis, IN 46268
(317) 396-1921 �5
(317) 396-2658
INVOICE #9992337
ROUTE 77 .... RT 77-OCS MATTHEW M
DRIVER 77 ... MATTHEW MATZ
08/27/2012 @ 11:12am
CUSTOMER 26278 Next scheduled Fr 09/21/12
CITY OF CARMEL-MAYORS OFFICE
Mayors Office
One Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
---------- -- -- - --- ------
[1009] CORY CREAMER CANISTER 120Z 1 1.88 2' 3.76
[5969] CORY COLOM DECAF 42/2.0 1 44.50 1 44.50
1479 CORY COLOMBIAN 4212.0 1 43.00 2 86.00
1688 COFFEEMATE HAZELNUT 160Z 1 4.28 1 4.28
1005 CORY SUGAR CANISTER 1 2.00 3 6.00
TOTAL DELIVERED 9 144.54
TAX EXEMPT ------
TOTAL DEPOSIT ,00
INVOICE TOTAL 144.54
NO PAYMENT RECORDED
indicates taxable line
This Administrat.i.ve_Charae_is_to--- -- — '
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/27/12 9992337 $144.54
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 Refreshments Services
IN SUM OF $
8435 Georgetown Road #100
Indianapolis, IN 46268
$144.54
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26488 9992337 42-390.99 $144.54 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
Monday, September 10, 2012
Director, Ad inistration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
s
'ARAMARK
Send Payment To:
8435 Georgetown Road #100
Indianapolis, IN 46268
(317) 396-1921
(317) 396-2658
INVOICE #9992075
ROUTE 77 .... RT 77-OCS MATTHEW M
DRIVER 77 ... MATTHEW MATZ
08/2712012 @ 11:00am
CUSTOMER 26282 Next scheduled Fr 09121/12
CARMEL POLICE DEPARTMENT
3 Civic Square
Carmel, IN 46032
TERMS: CHARGE
DELIVERED
[PIN] ITEM CC PRICE QTY AMOUNT
---------- -- ----- --- ------
[10091 CORY CREAMER CANISTER 120Z 1 1.88 6 11.28
[[19141 CORY DEEP ROAST 42/1.5 1 23.00 4 92.00
1863 1 CORY SIG OECAF 4211.75 1 37.00 1 37.00
TOTAL DELIVERED 11 140.28
TAX EXEMPT ------
TOTAL DEPOSIT .00
INVOICE TOTAL 140.28
NO PAYMENT RECORDED /
indicates taxab"le line
This Administrative Charge is to
offset operating costs and is not r
intended to be a tip, gratuity or
service charge for the benefit of
the employee.
CUSTOMER SIGNATURE:
koyv'�
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/27/12 9992075 coffee/creamer $140.28
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.
ALLOWED 20
Aramark Refreshment Services, LLC
IN SUM OF $
8435 Georgetown Road, Suite 100
Indianapolis, IN 46268
$140.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
26078 I 9992075 I 43-509.00 I $140.28 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
Wednesday, September 05, 2012
r
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund