HomeMy WebLinkAbout219747 05/07/2013 a.�•. CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE&TEA INC
` ) CARMEL, INDIANA 46032 1114 E 52ND ST CHECK AMOUNT: $25.00
INDIANAPOLIS IN 46205 CHECK NUMBER: 219747
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 CR0201304 25 . 00 OTHER CONT SERVICES
Pr
r
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2013-04
Indianapolis, IN 46205 Invoice Date:
Apr 30, 2013
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 Payment Terms
CRD Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 5/30/13
Quantity Item Description Unit Price Extension
1.00 895040 EQUIP- HCO DRIP BREWER LEASE3 25.00 25.00
II
I
i
I
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.1995)
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.
i 11 ( rr Payee
TPurchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total L S erc
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.
'l / ALLOWED 20
14 (u &ff'et TeA IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s),
00 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
5— 20
gnature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund