HCO COFFEE & TEA, INC.- 002757- 3/22/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 2 7 5 7
HCO Coffee &Tea, Inc. Check: 2757
1114 East 52nd Street Date: 3/22/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
802874 " 91.90 91.90 0.00 0.00. 91.90
coffee
CRD-2012-2 25.00 25.00 . 0.00 0.00. 25.00
Tease coffee maker. : .
116.90 116.90 '. 0.00 0.00 116.90
Eyre"' THE KEYTOiDOCUMENT SECURITY HEAT:ACTIVATED THUMBPRINT'„ADDITIONAL SECURITY
-9.4516 ' FEATURESIINCUDEDy 1,SEE BACK;FOR DETAILS• '` ,s1
- Carmel Redevelopment Commission ,r f
30 West Main Street REGIONS
®; 0027547
® I Suite 220 20-1421 140
°;aTniel Carmel. IN.46032 L,
- 2757
DATE
AMOUNT
AMOU
*************
3/22%2012 116.90
PAY THE SUM,OF ONE,HUNDRED SIXTEEN DOLLARS AND 90 CENTS ******'*****”***************`********** '
TO THE
ORDER _
OF'
HCO Coffee'a Tea, Inc.:
1114 East 52nd Street
Indianapolis,,IN 46205 # .i. =e" F"3,
II.0a275711' 1:0740b42b31: 0087504LLLo
CARMEL REDEVELOPMENT COMMISSION 0 0 2 7 5:7
HCO Coffee& Tea, Inc. Check: 2757
1114 East 52nd Street Date: 3/22/2012
Indianapolis, IN 46205 Vendor: HCO COF1
Prior
Invoice P.O. Nunn. Invoice Amt Balance Retention Discount Amt. Paid
802874 91.90 91.90 0.00 0.00 91.90
coffee
CRD-2012-2 - 25.00 25.00 0.00 • 0.00 25.00
lease coffee maker
116.90 116.90 -0.00 ^ 0.00 116.90
'1,11-52COMPUTEREASEFORMS''DIVISION(877)577-5791 T-37228 _ _ �
a
Invoice:
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street 802874
Indianapolis, IN 46205 Invoice Date:
Mar 7, 2012
Page:
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 Date
WILB Hand Deliver 3/7/12 ~_ --4/6/12
Quantity I Item Description Unit Price Extension '
j 900000 I CUSTOMIZE PAR LEVEL INVOICE
1.00 3102270 I FIRENZE BLEND 18/2.5oz 43.90 43:90
1.00 5070270 FIRENZE DECAF 18/2.5oz j 44.50 I 44.50
830301-NC FLTRS - BUNN WIDE BASE
1.00 895900 FUEL CHARGE 3.50 3.50
1 I I \\l✓
till ,
Subtotal 91.%
_�. Sales Tax
u+R.DER ACCEPTED AS COMPLETE; C.JUSTOMER Shpg & Hndlg
AUTHORIZED SIGNATURE & DATE REC O
Total Invoice Amount 91.90
Payment Received U.G`-
Check No: TOTAL
91.90
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2012-2
Indianapolis, IN 46205 Invoice Date:
Feb 29, 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 1/31/12 3/30/12
Quantity j Item Description Unit Price Extension
1.00 895040 EQUIP - HCO DRIP BREWER LEASE3 25.00 25.00
I � I
Subtotal 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg & Hndlg
AUTHORIZED SIGNATURE & DATE RECD
Total Invoice Amount 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
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 0 Co Purchase Order No.
//)4( F. 52,w jfr, �� Terms
�h✓�q,���o/, 5� /4/ `7/620 5 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 -29-/2 Ci1D-2o/2-2- 25. 00
•
•
zi
•
Total 2 5-C20
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.
3-zt , 20 IZ
- r asurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
co TrU IN SUM OF $
///y L, 5-2,7,/ st�p��
, /y 116-2)s
$ -2 5-00
ON ACCOUNT OF APPROPRIATION FOR
90'Z
Board Members
DEPT # INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
902- CRO-7.<> s hp 2SOo 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
3- s 20 )2
Execdi verbirector
Title
Cost distribution ledger classification if
Carmel Redevelopment Commission
claim paid motor vehicle highway fund
Prescribed 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
H1, 0 D ff e e t�f1d Te& Purchase Order No.
/IN E . 52.m 5-/-. Terms
.Irtc( n tt P 0 1 SJ IA/ 6205 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3-7 12 8o2R7ti- c o-Ffec 9.QO
Total _1 "
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.
3—L( , 20 /7--
- reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
14 CO Co w 7� IN SUM OF $
IN E. s--214 S
T 4.6 205
�� qo
$ ,
ON ACCOUNT OF APPROPRIATION FOR
902./a3551h0
Board Members
PO#or
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
cl 02 ?O2g7+ 835510 91:" 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
3 - 12- 2012
Signature
Executive Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund Carmel Redevelopment Commission