220644 06/04/2013 - CITY OF CARMEL, INDIANA VENDOR: 357542 Page 1 of 1
ONE CIVIC SQUARE HOME CITY ICE
CHECK AMOUNT: $69.00
CARMEL, INDIANA 46032 PO BOX 111116
CINCINNATI OH 45211 CHECK NUMBER: 220644
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2709130189 69 . 00 FOOD & BEVERAGES
MEOW
I Invoice: 2709130189
Hom®0�1�
The Home City Ice Company
2000 Dr. Martin Luther King Jr. St
Indianapoh5, IN 46202
(317)921-6670 or(800)765-2742
f. ;' �
Customer: 210108022i5 ,:t"•
MONON COMMUNITY CENTER CARM
Store:
1235 CENTRAL PARK DR F
CARMEL.CLAY PARKS& R1-CREATION
CA IN 46032
Delivery: 5%2.0%201 5:01 PM EST.
Terms:
Due Date: NET 10 DAYS
Qty. Inv Product Price Amount
75 130 7 lb bagged ice $0.920 $69.00
UPC#0 7330920007 5
0 0 22 Ib bagged ice $2.850 $0.00
_ UPC#0 7330920022 8
0 0 set up fee $20.000 $0.00
UPC#0 7330920034 1
Subtotal: $69.00
Sales Tax: $0.00
Minimum Delivery Char ge :_._ -NC-
Invoice Total: $69.00
PO Number:i
Check Number:
Salesperson: 21134-THOMAS LUKE
Received By: '
Remit To:
The Home City Ice Compan
P iO. Box 111116
Cincnnati, Ohio 45
an you or your order)
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RECEIVED
MAY 21 2013
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_Approval ----------
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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,
357542 Home City Ice Company Terms
P.O. Box 111116
Cincinnati, OH 45211
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/20/13 2709130189 Ice for concessions $ 69.00
Total $ 69.00
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.
357542 Home City Ice Company Allowed 20
P.O. Box 111116
Cincinnati, OH 45211
In Sum of$
I
$ 69.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1095-1 2709130189 4239040 $ 69.00 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
30-May 2013
L2 yj//g 1�2 Qrl
Signature
$ 69.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund