222169 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 365548 Page 1 of 1
ONE CIVIC SQUARE STANDARD COFFEE SERVICE CO
CARMEL, INDIANA 46032 PO BOX 952748 CHECK AMOUNT: $34.36
ST LOUIS MO 63195-2748 CHECK NUMBER: 222169
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 34 . 36 11911176090712
1-800-962-7006 www.coffeeservice.com
Upcoming Delivery Dates RTANDAND We Deliver! Hinckley
V Spring;
September 2012 October 2012 November 2012 Bottled Water . Filtration ' Coffee
Monday 17 Monday 15 Monday 12
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Customer Account#:554278411911176
CARMEL CLAY PARKS&RECREATION Invoice Date: 09-07-12 ;
1195 CENTRAL PARK DR E Invoice#: 11911176 090712
CARMEL,IN 46032-0000 Purchase Order#:
Date Transaction Details
C)ty, Each Amount
Previous Balance 67.52
08-20-12 Payment-Check-212029-Thank You -67.52
Remaining Balance 0.00
08-10-12 7122236560011 STANDARD COFFEE ICED TEA SUGAR 12/22 OZ 1 31.38 31.38
I Sales Tax 0.00
ITotal 31 38/
j.
Rec'd by: Purchase
Description
P.O.# PorF
G.L.# g695- 1 if 2 39 D`f C7 `-WL/ICf
Bud et
1^� Line Descr
JUL 4 Purchaser Date
Approval De- Date 7 z 13
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.evious Fxalance' P-)'/;,ent ?oiai New C'„a'Ue,y F'<,This Arno unt�}
$67.52 $67.52 $34.36 _ $34.36 )
til`.1,110NI clys/?3�:oolu% , RELYANT .tirr'rY'rt 41>arhtrth vcra nAl
Customer Account #: 554278411911176 Invoice #: 11911176 090712
Data Details Q�y. Each Amount
R122269502168 AUTO TEA BREWER RENTAL 1 0.00 0.00
TEA URN 3 GALLON STAINLESS STEEL RENTAL 1 0.00 0.00
TEA URN 3 GALLON STAINLESS STEEL RENTAL 1 0.00 0.00
TEA URN 3 GALLON STAINLESS STEEL RENTAL 1 0.00 0.00
Sales Tax 0.00
Total 0.00
09-05-12 77901973 ENERGY SURCHARGE 1 2.98 2.98
Sales Tax
Total 2.98
Total New Charges 34.36
Page 2 of 3
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.
365548 Standard Coffee Service Co. Terms
P.O. Box 952748
St. Louis, MO 63195-2748
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
9/7/13 11911176090712 Concessions $ 34.36
I
Total $ 34.36
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.
365548 Standard Coffee Service Co. Allowed 20
P.O. Box 952748
St. Louis, MO 63195-2748
In Sum of$
$ 34.36
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1095-1 11911176090712 4239040 $ 34.36 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
$ 34.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund