HCO COFFEE & TEA, INC. -002195 -8/18/2011 CARMEL REDEVELOPMENT COMMISSION 002195
HCO Coffee &Tea, Inc. Check: 2195
1114 East 52nd Street Date: 8/18/2011
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
CR02011-7 25.00 25.00 0.00 0.00 25.00
HCO Equalibrium
25.00 25.00 0.00 0.00 25.00
_--
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street 0201 1-7
Indianapolis, IN 46205 Invoice Date:
Jul 9, 2011
Page:
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 j Due Date
WILB Hand Deliver 8/8/11
Quantity - - Item Description Unit Price Extension
1.00 895000 EQUIP - HCOAQUALIBRIUM 25.00 25.00
•
,?/ 3 5-3w°
Director of Redevelopment
le(17
Subtotal 25.00
ORDER ACCEPTED AS COMPLETE; CUSTOMER Sales Tax
AUTHORIZED SIGNATURE & DATE RECD Shpg & Hndlg
Total Invoice Amount 25.00
Payment Received 0.00
Check No: TOTAL 25.00
/ 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
!7 �d Co 7'►-�� �F P�7 Purchase Order No.
///y . 52.�c/ S7�i °�f Terms
/'7//:q eV) /' }, �i� 2/62 0 5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7- 9 -// CfW2a//-7 // & 2 S-cD
•
Total 2 S l�D
I hereby certify that the attached invoice(s), or bill(s), is (are) true and corre . • e . e) -ame in accordance
with IC 5-11-10-1.6.
g12 , 20
-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
/-7/(G2 IN SUM OF $
///'7 .) (////C//7 o//7 /'
$ Z2 )
ON ACCOUNT OF APPROPRIATION FOR
a'o 2
Board Members
D#r or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
goz
41).2a//—7 zs-vo 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
•
20//
Signature
Execiitiye Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund Carmel Redevelopment Commission