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214950 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1 ONE CIVIC SQUARE ARAMARK CHECK AMOUNT: $103.32 CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100 �. INDIANAPOLIS IN 46268 CHECK NUMBER: 214950 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4239099 9990653 4 . 97 OTHER MISCELLANOUS 1205 4238900 26488 9990653 98 .35 COFFEE & FILTERS 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 9990653 $4.97 11/15/12 9990653 $98.35 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 $103.32 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members - - I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 9990653 42-390.99 $4.97 materials or services itemized thereon for 1 9990653 42-390.99 $98.35 which charge is made were ordered and received except Monday December 03, 2012 J Director, A ministration Title Cost distribution ledger classification if claim paid motor vehicle highway fund