226074 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 358595 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY FOOD&NUTRITION SERA
` .? CARMEL, INDIANA 46032 5201 E MAIN STREET CHECK AMOUNT: $15,823.61
CARMEL IN 46033 CHECK NUMBER: 226074
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 OCT' 13 15, 823 . 61 FOOD & BEVERAGES
Nutrition Service Invoice, 7,;2013
Food & Ben Johnson
el Clay Schools B,LLTO:
CaCrn Name:Amy Anderson
SCHOOL:Parks and Recreation Address! ESC
Fi}NCTION:Breakfast/Snacks October 2013 A
C
NUM DESCRY $0.00 $0,00
Free $p.30 $20.40
OR—pERE�
eakfas
249 Reduced $1.25 $3,515.00
Before School Br 68 paid $3,535.40
2,812 TOTAL
$0.00 $0,00
Free $0.33 $150.81
After School Snacks 1,190 Reduced $p.66 $12137.40
4.57 Paid $12,288.21
18,390 TOTAL
GRAND TOTAL $15823.61
NOV 13 2013
LY
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
11/7/13 0 ct'13 Breakfast/Snacks Oct'13 $ 15,823,61
Total $ 15,823.61
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.
358595 Carmel Clay Schools Food & Nutrition Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of$
$ 15,823.61
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 0 ct'13 4239040 $ 15,823.61 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
14-Nov 2013
Signature
$ 15,823.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund