HomeMy WebLinkAbout221066 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
` ONE CIVIC SQUARE HCO COFFEE&TEA INC CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1114 E 52ND ST
9~«ON 00 INDIANAPOLIS IN 46205 CHECK NUMBER: 221066
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 CRD-2013-05 25 . 00 OTHER CONT SERVICES
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2013-05
Indianapolis, IN 46205 Invoice Date:
May 31, 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 — -I
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 6/30/13
Quantity Item Description Unit Price Extension
1.00 895040 EQUIP - HCO DRIP BREWER LEASE3 25.00 25.00
I
I
Subtota 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg & Hndig
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.
flfl (`P/ayee
/ 7'
( 1/ �o't"f-ea l ICd Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
W-413-05 5 K0 iretren led5e 2500
Total Z5d0
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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
1901 / 3Sd9vo
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
IR p-?V-05 4356100 25° 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
C-1-7- . 2013
re
Title
Cost distribution ledger classification if6G� irQpvoY
claim paid motor vehicle highway fund