HCO COFFEE & TEA, INC.- 003162- 9/20/2012 ,CARMEN REDEVELOPMENT COMMISSION 0 0 310 2
HCO Coffee&Tea, Inc. Check: 3162
1114 East 52nd Street Date: 9/20/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
803597 91.90 91.90 0.00 0.00 91.90
coffee
91.90 91.90 0.00 0.00 91.90
THE KEY TO DOCUMENT SECURITY•HEAT ACTIVATED1TFiLIM 3 PRINT 0
A DDITIONAL SEnklaPEATURES INCLUDED SEE IMCK;FOR DETAILS
Zt-4.ts�°ES7C Carmel Redevelopment Commission 003162
'• 30 W est Main Street REGIONS
2o-taztnao
Suite 220
.`.ARMS` Carmel, IN 46032
��STR1C�
3162
DATE AMOUNT
9/20/2012 ***************91.90
THE SUM OF NINETY ONE DOLLARS AND 90 CENTS******************************************************
PAY
TO THE
ORDER
OF HCO Coffee & Tea, Inc.
1114 East 52nd Street
Indianapolis, IN 46205 s,.sE",
d
°es 1,,t
H.00 3 LE, 20 ':0 740 14 2 L 31: 008 7 5011 L L L H°
CARMEL REDEVELOPMENT COMMISSION 003162
HCO Coffee & Tea, Inc. Check: 3162
1114 East 52nd Street Date: 9/20/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
803597 91.90 91.90 0.00 0.00 91.90
coffee
91.90 91.90 0.00 0.00 91.90
relX-11.52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 -
Invoice
Invoice Number:
HCO Coffee & Tea 803597
1114 E. 52nd Street
Indianapolis, IN 46205 Invoice Date:
Aug 7, 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 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 8/7/12 9/6/12
Quantity Item Description Unit Price Extension
900000 CUSTOMIZE PAR LEVEL INVOICE
1.00 3102270 1 FIRENZE BLEND 18/2.5oz 43.90 43.90
1.00 5070270 I FIRENZE DECAF 18/2.5oz 44.50 44.50
830301-NC FLTRS - BUNN WIDE BASE
1.00 895900 FUEL CHARGE 3.50 3.50
I �
' I
I I
i I
' i I
Subtota 91.90
-I— _ Sales Tax
OR R ACC TED AS COMPLETE; CUSTOMER Shpg & Hndlg
AUTHORIZED SIGNATURE & DATE RECD
Total Invoice Amoun 91.90
Payment Received 0.00
Check No: TOTAL
91.90
Prescribgd 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
C 2 C' P q sec Purchase Order No.
»/y 5-2,7c1 514r,'7L Terms
// ,//,,,t.- o/' �, /y 2-/62 as-- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3597 (' 7 ,90
Total (( -(61
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20 IZ
- reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
!//1/ / . 52./ic P� IN SUM OF $
ol.'), /z2 16z- 5
$ 97. 9
ON ACCOUNT OF APPROPRIATION FOR
�U2
Board Members
PO#or
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
9'0 2 ?a 3 5-97 3 5 500 9(.90 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
-2/ 20 l2
nature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund