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CARMEL REDEVELOPMENT COMMISSION 003215
HJO Coffee &Tea, Inc. Check: 3215
1114 East 52nd.Street Date: 10/17/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
CRD-2012-9 25.00 25.00 0.00 0.00 25.00
Monthly lease
25.00 25.00 0.00 0.00 25.00
*- x' TWE,KEYS,TdDOCUMEN T SECURITY a HEAT ACTI A ED THUMECPRINTjTiADU1T10NATSEC RITaY FEATURES,INCLUUED EE BACK FOR DETAILS '
'. �Alt.+,�g6),Eg7C Carmel Redevelopment Commission �jj REGIONS 003215
30 West Main Street Suite 220 zo-1dzlriao
cnRMEt' Carmel IN 46032
°ISTroc- ,
3215
DATE AMOUNT
10/17/2012 ***************25.00
THE SUM OF TWENTY FIVE DOLLARS AND NO CENTS *PAY
*********`****************************************
TO THE
i ORDER ,
i OF HCO Coffee & Tea, Inc.
I 1114 East 52nd Street
i i Indianapolis, IN 46205 gr
I e
11°0032L 5" 1:0740L42L31: 0013 7504LLLH`
CARMEL REDEVELOPMENT COMMISSION 003215
HCO Coffee & Tea, Inc. Check: 3215
1114 East 52nd Street Date: 10/17/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
CRD-2012-9 25.00 25.00 0.00 0.00 25.00
Monthly lease
25.00 25.00 0.00 0.00 25.00
•
<-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 . ' -. (CA
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2012-9
Indianapolis, IN 46205 Invoice Date:
Sep 30, 2012
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 30Days
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 1/31/12 10/30/12
Quantity Item Description Unit Price i Extension
1.00 895040 EQUIP - HCO DRIP BREWER LEASE3 25.00 25.00
PO('
II I i
III � I
I I
I 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 City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
1x 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
G( C D Cc 7T�� /e°c;• Purchase Order No.
I/lyF, Terms
/0/ 62oS Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9-30_/2 CRO- /2--2 6�-��t��r
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have - -a same in accor-
dance with IC 5-11-10-1.6.
)b- /7 , 20 12 �_
&'reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
/-/(U C6762,- e- 7;2 c. IN SUM OF $
///y
'7, //U fvf 2c 2
$ 25-60
ON ACCOUNT OF APPROPRIATION FOR
Paz
Board Members
PO#or
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
9�2 CR p-, w2-9 S 3 5 S/OCR 25a) 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
/O- 20(2
ignature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund