222969 08/13/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 362576 Page 1 of 1
ONE CIVIC SQUARE HCO COFFEE&TEA INC
CARMEL, INDIANA 46032 1114 E 52ND ST CHECK AMOUNT: $25.00
INDIANAPOLIS IN 46205
CHECK NUMBER: 222969
CHECK DATE: 8/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 CRD-2013-07 25 . 00 OTHER CONT SERVICES
Invoice
Invoice Number:
HCO Coffee & Tea
1114 E. 52nd Street CRD-2013-07
Indianapolis, IN 46205 Invoice Date:
Jul 31, 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
�.
— r.,et 30 Days
Sales Rep ID Shipping Method _ Ship Date Due Date
WILB Hand Deliver _ 8/30/13
Quantity Item Description Unit Price Extension
1.00 895040 EQUIP - HCO DRIP BREWER LEASES 25.00 25.00 ,
i I
i
i
Subtota 25.00
Sales Tax
ORDER ACCEPTED AS COMPLETE; CUSTOMER Shpg & Hndlg
AUTHORIZED SIGNATURE & DATE REC'D
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
�I Co C� �Fee
Ted Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
o c e vi I' t. e Ift ' ao
Total 25,oC
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.
ALLOWED 20
fI Co (o4 Led, IN SUM OF $
$ 25 00
ON ACCOUNT OF APPROPRIATION FOR
i
vol /g35010 o
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
1901 (13 0-2013-07 4350100 '`�-5� 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
_ -7— 20 13
abb
Signati1kre
-ram
Cost distribution ledger classification if
claim paid motor vehicle highway fund