HomeMy WebLinkAbout221181 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367210 Page 1 of 1
Q � ONE CIVIC SQUARE PANERA BREAD
CARMEL, INDIANA 46032 ATTN ACCOUNTS RECEIVABLE CHECK AMOUNT: $1,123.75
PO BOX 504888 CHECK NUMBER: 221181
ST LOUIS MO 63150-4888
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 60165800017 1, 123 . 75 GENERAL PROGRAM SUPPL
I
Panera Bread �- Invoice Number: 60165800017
Cafe 601658
1346 S nge Line Road AKSS
UnorC4 Ca el, IN 46032 PIECE, Tom`
BREADI MAY 24 2013
INVOICE
Customer Billinq Address: Delivery Details:
147779 Delivery Date: 5/23/2013
`.CARMEL CLAY PARKS & RECREATION
Customer PO
9411E 116th Street Authorized User: Acosta, Linda
Carmel, IN 46032 :
POS Order: 500916
li d
Delivery Address: 1.135 Central Park Dr East"
Camel, IN 46032
QTY Description Unit Price Amount
52 Sand Box $8.99 $467.48
52 SIERRA TURK
52 COOKIE CHOC CHIP
53 Sand Box $8.99 $476.47
53 HAM&SWISS
53 Choc Duet w Walnut
20 Sand Box $8.99 $179.80
20 MED VEG
20 COOKIE SHRTBRD
Please remit pay meritto: Subtotal: $1,123.75
- Delivery Fee: $0.00
Panera Bread Company
Sales Tax: $0.00
Attn:Accounts Receivable
504888''
Total: $1,123.75
St::Couis,'MO 631'50=4888:,.. Tip: $0.00
Final Total: $1,123.75
" Please reference invoice number on
payment remittance
Receiver's Name& Phone (printed):
Receiver's Signature:
All transactions are subject to the terms of your approved credit application.
Pavment Terms of Net 30 Days.
Purchase F S E 5 a- T- 'rcgu) -�g
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P.O.# a���� Pow
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Purchaser Date
Approval Date
Ver 2.1.0 Page 1 of 1 5/23/2013
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
Panera Bread Purchase Order No.
Attn: Accounts Receivable Terms
P.O. Box 504888
St. Louis, MO 63150-4888
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO#
5/23/13 60165800017 ESE Staff training Amount
29797 $ 1,123.75
I
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordanTOtal $ 1,123.75
ce
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
t.
Voucher No. Warrant No.
Panera Bread Allowed 20
Attn: Accounts Receivable
P.O. Box 504888
St. Louis, MO 63150-4888 In Sum of$
$ 1,123.75
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1082-99 60165800017 4239039 $ 1,123.75 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
13-Jun 2013
�`n�
Signature
$ 1,123.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund