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224748 10/07/2013 Pag g 1 of -I CITY OF CARMEL, INDIANA' j VENDOR: 358595 t` ONE CIVIC SQUARE CARMEL CLAY FOOD&NUTRITION SE%ECK AMOUNT: $16,058,97 0 CARMEL, INDIANA 46032 5201 E MAIN STREET CARMEL IN 46033 CHECK NUMBER: 224748 CHECK DATE: 101712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239040 SEPT13 16, 058 . 97 FOOD & BEVERAGES Carmel Clay Schools Food & Nutrition Service Invoice ATE: 10-3-2013 SCHOOL:Parks and Recreation BILL TO: Ben Johnson FUNCTION: Breakfast/Snacks September 201 Name:Amy Anderson Address: ESC NUM DE SCR_---I?TION COST TOTAL ORDERED Before School Breakfast 217 Free $0.30 $0.00 $0.30 $25.20 84 Reduced Paid 693.75 $1.25 $3, 2,955 $3,718.95 TOTAL After School Snacks Free $0.00 $0.00 1,268 $0.33 $163.02 494 Reduced 177.00 Paid $0.66 $12, 18,450 TOTAL $12,340.02 GRAND TOTAL $16,058.97 FC 3--,T 4 Tom` CT 04 2013 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. 358595 Carmel Clay Schools Food & Nutrition Terms 5201 E. Main St. Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/3/13 Sep'13 Breakfast/Snacks Sep'13 $ 16,058.97 Total $ 16,058.97 1 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. 358595 Carmel Clay Schools Food & Nutrition Allowed 20 5201 E. Main St. Carmel, IN 46033 In Sum of$ $ 16,058.97 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE .r- PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 Sep'13 4239040 $ 16,058.97 i 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 4-Oct 2013 Signature $ 16,058.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund