213431 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366606 Page 1 of 1
ONE CIVIC SQUARE DUNKIN DONUTS CHECK AMOUNT: $51.96
CARMEL, INDIANA 46032 1305 S RANGELINE
CARMEL IN 46032 CHECK NUMBER: 213431
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 10/24/12 51 . 96 ADULT CONTRACTORS
Dunkin Dunuts INVOICE
1305 Rangeline Rd
Carmel In 4603
T- DATE: OCTOBER 3, 2012
OCT 0 4 2012
TO: L3Y: -- --
Carmel Clay Parks
........................................................................_............................ ...... ...........................................
QUANTITY DESCRIPTION UNIT PRICE j TOTAL
t ........................................._.._............................................................................._.........................................._.._.....................................................__........._._.................................... ...........:...................---_....._.............._......................f............_.......................................................
.................................. 12.99
4 Boxes Coffee 51.96
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_._.,-....-_._-_.__..._._.__...___-_.-...._...(.__..._...._-._..._._____-__.._..._._.__.._._._......._..._.-........___................._._._....................__-.__..............-.____._..__..._.__.___.._.__......._..._.... _........_.........._.____-......_ _._--....._...__........._......____....,_
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SUBTOTAL 1 51.96
SALES TAX
SHIPPING & HANDLING
TOTAL DUE 1— 51.96
THANK YOU FOR YOUR BUSINESS!
1 EC E ---- -�
Carmel • Clay OCT 0 3
Parks&Recreation CHECK REQUEST
Date: 10/02/12
Check payable to:
Name: Dunkin Donuts
Address: 1305 S. Rangeline
City, State, Zip Carmel, IN 46032
Mail check to payee X Return check to requestor
Check Amount: $51.96 Date Required: 10/24/12
Check needed for: Staff Breakfast
To be paid from:
PO#(if applicable) (�C�b2�3?
Budget account-GL# 1081-06 43408000
Budget Line Description Vendor
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by (print): Jennifer Holder
Requested by (signature): ,t k�)
Approved by (signature of Division Manager):
on this date io+
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)
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.
Dunkin Donuts Terms
1305 S. Rangeline
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/2/12 10/24/12 Staff breakfast $ 51.96
Total $ 51.96
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.
Dunkin Donuts Allowed 20
1305 S. Rangeline
Carmel, IN 46032
In Sum of$
$ 51.96
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-6 10/24/12 4340800 $ 51.96 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
4-Oct 2012
Signature
$ 51.96 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund