216559 01/28/2013 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL CLAY FOOD&NUTRITION SERA
CARMEL INDIANA 46032 5201 E MAIN STREET CHECK AMOUNT: $10,384.27
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CARMEL IN 46033 CHECK NUMBER: 216559
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CHECK DATE: 1/28/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 12/12 10, 384 . 27 FOOD & BEVERAGES
Carmel Clay Schools Food & Nutrition Service Invoice
SCHOOL: Parks and Recreation Date: 1/7/2013
FUNCTION: Breakfast/Snacks December 2012 BILL TO: Ben Johnson
Name:Amy Anderson
Address: ESC
ORDERED NUM DESCRIPTION COST TOTAL
Before School Breakfast
223 Free $0.00 $0.00
20 Reduced $0.30 $6.00
1,757 Paid $1.25 $2,196.25
TOTAL $2,202.25
After School Snacks
1,104 Free $0.00 $0.00
254 Reduced $0.33 $83.82
12,270 Paid $0.66 $8,098.20
TOTAL $8,182.02
GRAND TOTAL $10,384.27
Purchase
Description
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App�� Date(D,
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JAN I 1 2013
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358595 Carmel Clay Schools Food & Nutrition Terms
5201 E. Main St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/7/13 Dec'12 Breakfast/Snacks Dec'12 29337 $ 10,384.27
Total $ 10,384.27
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
Voucher No. Warrant No.
358595 Carmel Clay Schools Food & Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of$
$ 10,384.27
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 Dec'12 4239040 $ 10,384.27 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
24-Jan 2013
Signature
$ 10,384.27 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund