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Home My WebLink About214548 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1 ONE CIVIC SQUARE ARAMARK CHECK AMOUNT: $351.35 CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100 ToN`o INDIANAPOLIS IN 46268 CHECK NUMBER: 214548 CHECK DATE: 11/19/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4350900 27847 9990647 207 . 76 COFFEE SERVICE 1110 4350900 9990697 20 . 11 OTHER CONT SERVICES 1110 4350900 26078 9990697 123 . 48 COFFEE CONTRACT Send Payment To: DATE 11/15/12 ARAMARK Refreshment Services OUST# 26282 8435 Georgetown Road #100 PO# Indianapolis, IN 46268 INVOICE# 9990697 (317) 396-1921 *I N V O I C E* ROUTE 4 MAILING ADDRESS : DELIVER TO: Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 Robert Robinson (317) 571-2548 ITEM DESCRIPTION CC QTY PRICE TOTAL 1009 Cory Creamer Canister 12oz EACH 3 $1 . 88 $5 . 64 1005 Cory Sugar Canister EACH 2 $2 . 00 $4 . 00 1914 Cory Deep Roast 42/1 . 5 KIT 4 $23 . 00 $92 . 00 1863 Cory Sig Decaf 42/1 . 75 KIT 1 $37 . 00 $37 . 00 INV NOTE: A/R NOTE: PACK NOTE: NOTE 1 : NOTE 2 : SUBTOTAL $138 . 64 TAX ADMINISTRATIVE CHARGE $4 . 95 This Administrative Charge is to TOTAL $143 . 59 offset operating costs and is not intended to be a tip, gratuity or AMOUNT RECEIVED: service charge for the benefit of the employee . BALANCE DUE : $143 . 59 PAGE 1 OF 1 INDIANA RETAIL TAX EXEMPT PAGE City.. o��``Carmel CERTIFICATE N0 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2M78 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 212492 - Aramait Refroohmont Sorwicos, LLC Carmel Police Department VENDOR SHIP 3 CIVIC squam Coafg9tom Romd, Sufte 100 TO Cmfmol, IN Indianapolis, IN 46M (397)57'1- CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account X13 .00 10 Each coffee contract $150.00 $1,500.00 Sub Total: $1,500.00 ( tE 9 s.� _ q t e •'"��'J r' Ym� m >f a ll§ 693 . DID 00 u�t Pot fif ers!10 Dr RA�ker idea° 'l Co aca Otl�er� i noplieg , Sen Invoice To: Carmel Police Depwtmont Attn: Torosm Andorson 3 CIVIC square Carmel, IN n PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $9,50°00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS•THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TH,ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • + � •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. vr/� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. i QI I��li � •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6®7 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__...._............... WARRANT ALLOWED 20 _ IN THE SUM OF$ S ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# 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 20 ......................................................................... .......................... . Signature ............................. ..............-------.................-.............................................__. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Aramark Refreshment Services, LLC IN SUM OF $ 8435 Georgetown Road, Suite 100 Indianapolis, IN 46268 $143.59 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 9990697 43-509.00 $20.11 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 26078 9990697 43-509.00 $123.48 materials or services itemized thereon for which charge is made were ordered and received except Thursday, November 15, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/15/12 9990697 coffee $20.11 11/15/12 9990697 coffee/creamer/sugar $123.48 1 hereby certify that the attached invoice(s), or bill(s), is(arc:)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer e RK Send Payment To: 8435 Georgetown Road #100 Indianapolis, IN 46268 (317) 395-1921 (317) 396-2658 INVOICE #9990647 ROUTE 4 ..... RT 4-JUMPER DANIEL A DRIVER 13 ... DANIEL ARCHER 11115/2012 @ 10:25am CUSTOMER 26279 Next scheduled Fr 11/16/12 CARMEL DEPART, OF COMMUINITY One Civic Square Carmel, IN 46032 TERMS: CHARGE DELIVERED (PIN] ITEM CC PRICE QTY AMOUNT ---------- -- ----- --- ------ 1688 COFFEEMATE HAZELNUT 16OZ 1 4.28 2 8.56 1761 CORY SEQUOIA DARK 42/2.0 1 49.00 2 98.00 13301 CORY SIGNATURE 42/1.75 1 35.00 2 70.00 14021 COFFEEMATE LITE 11OZ 1 3.55 3 10.65 19371] EQUAL YELLOW 12/100 1 7.80 2 15.60 TOTAL DELIVERED 11 202.81 [SHIP] ADMINISTRATIVE CHARGE 4.95 1 4.95 TOTAL 1 4.95 TAX EXEMPT ------ TOTAL DEPOSIT .00 INVOICE TOTAL 207.76 NO PAYMENT RECORDED indicates taxable line Selected items may reflect a price increase 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: VOUCHER NO. WARRANT NO. ARAMARK Refreshement Services ALLOWED 20 IN SUM OF $ 8435 Georgetown Road #100 Indianapolis, IN 46268 $207.76 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members T 27847 I 9990647 I 43-509.00 I $207.78 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 I which charge is made were ordered and received except Friday, November 16, 2012 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 11/15/12 9990647 Coffee service $207.76 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