216624 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 356648 Page 1 of 1
.r
j. ONE CIVIC SQUARE ARAMARK CHECK AMOUNT: $104.77
r. CARMEL, INDIANA 46032 8435 GEORGETOWN RD.#100
INDIANAPOLIS IN 46268 CHECK NUMBER: 216624
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4239099 9989802 104 . 77 OTHER MISCELLANOUS
Send Payment To: //� DATE 01/11/13
ARAMARK Refreshment Services � ZO CUST# 26278
8435 Georgetown Road #100 PO# Jeff Barnes
Indianapolis, IN 46268 INVOICE# 9989802
(317) 396-1921 *I N V 0 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
1688 CoffeeMate Hazelnut 16oz EACH 1 $4 . 28 $4 . 28
5969 Cory Colom Decaf 42/2 . 0 KIT 1 $44 . 50 $44 . 50
1371 CoffeeMate FrVan 15oz EACH 1 $4 . 28 $4 . 28
1009 Cory Creamer Canister 12oz EACH 2 $1 . 88 $3 . 76
1479 Cory Colombian 42/2 . 0 KIT 1 $43 . 00 $43 . 00
INV NOTE.
D Q �
A/R NOTE: JAN 2 b 2013
PACK NOTE: By
NOTE 1 :
NOTE 2 :
SUBTOTAL $99 . 82
TAX
ADMINISTRATIVE CHARGE $4 . 95
This Administrative Charge is to TOTAL $104 . 77
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: ; $104 . 77
PAGE 1 OF 1
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))
01/11/13 9989802 $104.77
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
$104.77
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 9989802 42-390.99 $104.77
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, January 28, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund