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259921 06/24/16
CITY OF CARMEL, INDIANA VENDOR: 368925 ONE CIVIC SQUARE GREEK'S PIZZERIA CHECK AMOUNT: $*****1,495.00* CARMEL, INDIANA 46032 120 E MAIN ST CHECK NUMBER: 259921 CARMEL IN 46032 CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 123456 980.00 GENERAL PROGRAM SUPPL 1082 4239039 123456 10.00 GENERAL PROGRAM SUPPL 1092 . 4239099 123456 80.00 OTHER MISCELLANOUS 1094 4239099 123456 150.00 OTHER MISCELLANOUS 1095 4239040 123456 50.00 FOOD & BEVERAGES 1096 4239039 123456 165.00 GENERAL PROGRAM SUPPL 1125 4359000 123456 60.00 SPECIAL PROJECTS Voucher No. Warrant No. 368925 Greek's_Pizzeria Allowed 20 >1 �� <IVlani'#:�:�fr��fi <> :.........:...................... usethis a dry ess per email 5/20/15 In Sum of$ $ 1,495.00 TOTAL OF 2 PAGES ON ACCOUNT OF APPROPRIATION FOR 101 General/108 ESE/109 MCC PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members Dept# 1125 6/8/16 4359000 $ 60.00 1 hereby certify that the attached invoice(s), or 1092 6/8/16 4239099 $ 80.00 bill(s) is(are)true and correct and that the 1094 6/8/16 4239099 $ 150.00 materials or services itemized thereon for 1095-1 6/8/16 4239040 $ 50.00 which charge is made were ordered and 1096-60 6/8/16 4239039 $ 140.00 received except 1096-70 6/8/16 4239039 $ 25.00 1081-1 6/8/16 4239039 $ 55.00 1081-2 6/8/16 4239039 $ 60.00 1081-3 6/8/16 4239039 $ 185.00 1081-4 6/8/16 4239039 $ 25.00 June 15, 2016 1081-5 6/8/16 4239039 $ 55.00 i — pkk&m-h� Total from Page#2 $ 610.00 Signature $ 1,495.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Voucher No. Warrant No. 368925 Greek's Pizzeria Allowed 20 Xd ::.::.::.::.:::;;:;;;:;:.::.:;:.;:;;;:;:.;::;;;:::;;;:::. use this address per email 5/20/15 In Sum of$ Page 2 of 2 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE/109 MCC PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members Dept# 1081-6 6/8/16 4239039 $ 155.00 1 hereby certify that the attached invoice(s), or 1081-7 6/8/16 4239039 $ 170.00 bill(s) is(are)true and correct and that the 1081-9 6/8/16 4239039 $ 100.00 materials or services itemized thereon for 1081-10 6/8/16 4239039 $ 75.00 which charge is made were ordered and 1081-99 6/8/16 4239039 $ 100.00 received except 1082-6 6/8/16 4239039 $ 10.00 June 15, 2016 Signature $ 610.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund G,reek's =Pitz it a INVOICE M0 east Main Streets �Carmet IW46032. : Phone: 317.848.1969] 3 INU01'CEri 123-450 CUSTOMER ID [123] Website: GreeksPizzeria.com DUE DATE 7/8/2016 Carmel Parks and Recreation J R,ECI V ED Attn: Dawn Koepper jUN 0 8 2016 a1- . DESCRIPTION • xx3348 8 l 40.000 50°z, xx3380 6 30.0000✓ xx3379 14 70.0000 v q 5 p3 xx3393 4. 20.0000.✓ xx3422 7 35.0000✓ xx3424 30 150.0000✓ xx3439 14 70:0000,/ xx3454 6 30.0000✓ xx3516 5 25.0000 xx3517 3 15.000Ot✓ xx3548 20 100.0000✓ xx3552 20 100.0000✓ xx3569 4 20.0000 ✓ xx3624 2 10.0000,/ xx3630 12 60.:0000✓ xx3638 30 150.0000,/ xx3667 3 15.0000,-" xx3700 10 50.0000✓ xx3723 4 20.0000 xx3724 24 120.0000✓ xx3725 5 25.0000 xx3726 48 240.0000v' xx3731 11 55.00 xx3759 5 25.00 xx3758 4 20.00 Subtotal 1,495.00 Taxable - OTHER • Tax rate 0.000% Tax due - Other Invoice Template©2013-2014 Vertex42.com