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215569 12/18/2012 F CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1 ONE CIVIC SQUARE ARAMARK ~' CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100 CHECK AMOUNT: $218.76 rs� INDIANAPOLIS IN 46268 CHECK NUMBER: 215569 CHECK DATE: 12118/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355100 9990201 140 . 15 PROMOTIONAL FUNDS 1205 4239099 9990202 78 . 61 OTHER MISCELLANOUS Send Payment To: DATE 12/14/12 ARAMARK Refreshment Services CUST# 26278 8435 Georgetown Road #100 PO# Jeff Barnes Indianapolis, IN 46268 INVOICE# 9990202 (317) 396-1921 *I N V O I C E* ROUTE 77 MAILING ADDRESS : DELIVER TO: City of Carmel City of Carmel Mayors Office Mayors Office One Civic Square One Civic Square Carmel, IN 46032 Carmel, IN 46032 Lisa Stewart (317) 571-2418 ITEM DESCRIPTION CC QTY PRICE TOTAL 1009 Cory Creamer Canister 12oz EACH 1 $1 . 88 $1 . 88 1007 Lipton Tea 100ct Each 1 $7 . 27 $7 . 27 1688 CoffeeMate Hazelnut 16oz EACH 1 $4 .28 $4 . 28 1371 CoffeeMate FrVan 15oz EACH 1 $4 .28 $4 . 28 1005 Cory Sugar Canister EACH 2 $2 . 00 $4 . 00 1115 Lipton Decaf Tea 72ct EACH 1 $8 . 95 $8 . 95 1479 Cory Colombian 42/2 . 0 KIT 1 $43 . 00 $43 . 00 DEC 17 2012 , INV NOTE: r A/R NOTE: PACK NOTE: NOTE 1 : NOTE 2 : SUBTOTAL $73 .66 TAX ADMINISTRATIVE CHARGE $4 . 95 This Administrative Charge is to TOTAL $78 . 61 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: $78 . 61 PAGE 1 OF 1 VOUCHER NO. WARRANT NO. ALLOWED 20 ARAMARK Refreshments Services IN SUM OF $ 8435 Georgetown Road #100 Indianapolis, IN 46268 $78.61 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 9990202 42-390.99 $78.61 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 Monday, December 17, 2012 Director, Adminlstr tlon 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)) 12/14/12 9990202 $78.61 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 Send Payment To: DATE 12/14/12 ARAMARK Refreshment Services CUST# 26282 8435 Georgetown Road #100 PO# Indianapolis, IN 46268 INVOICE# 9990201 (317) 396-1921 *I N V 0 I C E* ROUTE 77 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 1914 Cory Deep Roast 42/1 . 5 KIT 5 $23 . 00 $115 . 00 1009 Cory Creamer Canister 12oz EACH 3 $1 . 88 $5 . 64 1005 Cory Sugar Canister EACH 2 $2 . 00 $4 . 00 1080 Sweet&Low Packets 4/400ct BOX 1 $10 . 56 $10 . 56 INV NOTE: A/R NOTE: PACK NOTE: NOTE 1 : NOTE 2 : SUBTOTAL $135 .20 TAX ADMINISTRATIVE CHARGE $4 . 95 This Administrative Charge is to TOTAL $140 . 15 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: $140 . 15 PAGE 1 OF 1 _ t s ,. a s� `t _ ,....�.�',.ti.. VOUCHER NO. WARRANT NO. ALLOWED 20 Aramark Refreshment Services, LLC IN SUM OF $ 8435 Georgetown Road, Suite 100 Indianapolis, IN 46268 $140.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 9990201 I 43-551.00 I $140.15 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 Friday, December 14, 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)) 12/14/12 9990201 coffee/creamer/sugar $140.15 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