241570 1 /27/2015 4/ \ CITY OF CARMEL, INDIANA VENDOR: 360623
® ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $*******160.77*
CARMEL, INDIANA 46032 DEPT 771108 CHECK NUMBER: 241570
1108 SOLUTIONS CENTER CHECK DATE: 01/27/15
CHICAGO IL 60677-1001
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 S1485141415 160.77 GENERAL PROGRAM SU PL
i
Papa John's USA, Inc.
Phone: 502-261-4017
14 It 11/23/2014 Market. INDIANAPOLIS
Frau 11121/201 Fiscal Period: 11 Company Num: 9041. S1485-14-141
Order 'um: 1121/0004 Fiscal Year: 2014 Missing Rgmt:
Customer Name: ORCHARD PAS°.ELBENITARY ESE Account Name CA S, CLAY PARKS &RECREATION
Delivered To: Cr am ark M=erl��xy� � .4,ccount Num: 88140251
Name : " Of arcl� r 11 ie� r}r �`� � Phone: 3176799867
InvoiceNum: 1415 P um: 1.33
Address: 10404 Orchard Par .
F
City: Ind anapons Remark:
Mate:
Zip: 46280
Amount.- 298.50 Store Remark:
Allowance: 0.00 10, +pe (21-15-6) r 141' original
Discount: 137.73 } 8, Cheese, 141' originals 5, +Sar 14"1
original,;
Tax: 0.00 Order Detail: 3
`ips�LL 0 ! Business `quit:
Total.,
Department:
Sent To PSl'iu, Y Sent Date: 12'01/2014GL R
7BY:
N Y 9 2815
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.
360623 Papa Johns International Terms
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/21/14 S1485141415 PNO OP 11/21/14 xa1393 $ 160.77
Total $ 160.77
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
1
1
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 160.77
ON ACCOUNT OF APPROPRIATION FOR
I
108 ESE
4
PO#or INVOICE NO. ACCT#rrITLE AMOUNT I Board Members
Dept#
1081-6. S148514141 4239039 $ 160.77 ? 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
j January 22, 2015
f
I �
I �—
Signature
$ 160.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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