222028 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 357542 Page 1 of 1
ONE CIVIC SQUARE HOME CITY ICE
CARMEL, INDIANA 46032 PO BOX 111116 CHECK AMOUNT; $121.44
CINCINNATI OH 45211
CHECK NUMBER: 222028
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 184131694 121 .44 FOOD & BEVERAGES
j- -
�� nvoice: 1834131694
om®0 Ime
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e , ome Cit�ompain
2000 Dr. Marti uther King Jr.St
India polls,IN 46
q _ )765-2742
Customer: 2101080225
MONON COMMUNITY CENTER CARM
Store:
1235 CENTRAL PARK DR E
CARMEL CLAY PARKS&RECREATION
6032
Delivery =06/28:/26 13 :49 PM EST
Terms: E
Due Date: NET 10 DAYS
Qty Inv Product Price Amount
132 145 7 lb bagged ice 80.920 $121.44
UPC#0 7330920007 5
0 0 22 lb bagged ice $2.850 $0.00
UPC#0 7330920022 8
0 0 ;et up fee $20.000 $0.00
UPC#0 7330920034 1
R'ECIEIVED
JUL 0-12013 Sub ow: ,121.44
Sale Tax: $0.00
BY: Minimum Delivery C arge: --.
otal: C,
PO Number:
Check Number:
Salesperson: 21362-JACOB YEAGER
Received By:
mit To:
he Home City Ice Company
P.O. Box 111116
Cincinnati, Ohio 45211
Thank you for your order!
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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
Purchase Order No.
357542 Home City Ice Company Terms
P.O. Box 111116
Cincinnati, OH 45211
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/28/13 1834131694 Ice for concessions $ 121.44
r
Total $ 121.44
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.
357542 Home City Ice Company Allowed 20
P.O. Box 111116
Cincinnati, OH 45211
In Sum of$
$ 121.44
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1095-1 1834131694 4239040 $ 121.44 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
10-Jul 2013
Signature
$ 121.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund