HomeMy WebLinkAbout222010 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
�J� ONE CIVIC SQUARE HCO COFFEE&TEA INC CHECK AMOUNT: $116.90
;4®= CARMEL, INDIANA 46032 1114 E 52ND ST
INDIANAPOLIS IN 46205 CHECK NUMBER: 222010
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 805476 91 . 90 OTHER CONT SERVICES
1801 4350900 CRD-2013-06 25 . 00 OTHER CONT SERVICES
l
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street 805476
Indianapolis, IN 46205 Invoice Date:
Jul 3, 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
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 7/3/13 8/2/13
Quantity Item Description Unit Price Extension
900000 CUSTOMIZE PAR LEVEL INVOICE
1.00 3102270 FIRENZE BLEND 18/2.5oz 43.90 43.90
1.00 5070270 FIRENZE DECAF 18/2.5oz 44.50 44.50
1.00 895900 FUEL CHARGE 3.50 3.50
I
_ Subtota 91.90
Sales Tax
ORDER ACCEP D AS COMPLETE; CUSTOMER Shpg & Hndlg
AUTHORIZED SI&NATURE & DATE RECD
Total Invoice Amoun 91.90
Payment Received 0.00
Check No: TOTAL 91.90
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2013-06
Indianapolis, IN 46205 Invoice Date:
Jun 30, 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
—CR D- , Nei 30-Days
Sales Rep ID Shipping Method Ship Date Due Date
WILB Hand Deliver 7/30/13
Quantity Item Description Unit Price Extension
1.00 895040 EQUIP- HCO DRIP BREWER LEASE3 25.00 25.00
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 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.
Payee
N<o (flee Te Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7-)-43 8 05g76
6-3V3 (9-201146 coff-eF 161�e ler- zs.
Total 6 9
I 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
VOUCHER NO. WARRANT NO.
V (d ALLOWED 20
N ` �e �� IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Igol/ g356gy
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
d JOR7 0500 bill(s) is (are) true and correct and that the
j ()
(R L - 35006 2Zoo materials or services itemized thereon for
which charge is made were ordered and
received except
7- �� - 2013
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund