HomeMy WebLinkAbout216421 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE&TEA INC CHECK AMOUNT: $25.00
is CARMEL, INDIANA 46032 1114 E 52ND ST
4 _0M INDIANAPOLIS IN 46205 CHECK NUMBER: 216421
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 CRD-2012-12 25 . 00 OTHER CONT SERVICES
Invoice
Invoice Number:
HCO Coffee & Tea CRD-2012-12
1114 E. 52nd Street
Indianapolis, IN 46205 Invoice Date:
Dec 31, 2012
Page:
_ 1
Sold To: Ship To:
CARMEL REDEVELOPMENT COMMISSION CARMEL REDEVELOPMENT COMMISSION
30 W. Main Street Suite 220 30 W. Main Street Suite 220
Carmel, IN 46032 Carmel, IN 46032
Customer ID _ Customer PO _1— Payment Terms
- --CR D —i -- – — -- - Net 30 Days --
Sales Rep ID __ Shipping_Method Ship Date Due Date _
WILB Hand Deliver 1/31/12 1/30/13
Quantity Item Description Unit Price Extension
1.00 895040 i EQUIP - HCO DRIP BREWER LEASE3 , 25.00 25.00
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Subtota 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg & Hndlg
AUTHORIZED SIGNATURE & DATE RECD
Total Invoice Amoun 25.00
Payment Received 0.00
Check No: TOTAL 25.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.7995)
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
I
I —�ff e T C Purchase Order No.
ll 14 F. 52 "d Terms
f Tb2�5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12.3112 D- ot2-i2
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
H C O (04ee TcQ — IN SUM OF $
111' E 52nd s('
z hdiah�polis .T N 4 6205.
$ 2S o0
ON ACCOUNT OF APPROPRIATION FOR
jp � Z' 350100
Board Members
D PT.or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
L ML-(Z 350180 25.01 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
2013
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund