222994 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 357542 Page 1 of 1
ONE CIVIC SQUARE HOME CITY ICE CHECK AMOUNT: $92.00
CARMEL, INDIANA 46032 Po Box 111116
CINCINNATI CH 45211 CHECK NUMBER: 222994
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2379132337 92 . 00 FOOD & BEVERAGES
Om Invoice: 2379132337
The Home City Ice Company
2000 Dr. Martin Luther King Jr.,St
Indianapolis, IN 46202
(317)921-6670 or(800)765-2742
Customer: 2101080225
MONON COMMUNITY CENTER CARMI
Store: 1
1235 CENTRAL PARK DR E
CARMEL CLAY PARKS&RECREATION
CAR 46032,
y r
Deliver : 6 201 02:58 PM EST ,
Terms:
\DuejDate: NET 10 DAYS
Qty Inv Product Price Amount
100 140' 7 lb bagged ice $0.920 $92.00
UPC#0 7330920007 5
0 ✓0 22 lb Sagged ice $2.850 $0.00
UPC#_,O 7330920022 8 -
0 0 set up fee $20.000 $0.00
- UPC#,0 7330920034 1
/ subtotal: $92.00
Sales Tax: $0.00
Minimum Delivery Charge:. -NC-
Invoice Total: n $92.00
PO Number:
1 Check Number: c+*s
Salesperson:' 21134-THOMAS LUKE
Received By: ,...r
Remit(To: { ( _7Z)
The Home City Ice Compa t
P.O. Box 11'1116
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 # Arnount
7/16/13 2379132337 Refill ice cooler at Waterpark $ 92.00
Total $ 92.00
1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 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$
$ 92.00
ON ACCOUNT OF APPROPRIATION FOR
I
109 - Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1095-1 2379132337 4239040 $ 92.00 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
8-Aug 2013
Signature
$ 92.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund