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306753 01/05/17
(9) CITY OF CARMEL, INDIANA VENDOR: 371006 **xONE CIVIC SQUARE RPM PIZZA MIDWEST LLCCHECK AMOUNT: S 246.00CARMEL, INDIANA 46032 15384 FIFTH STREET CHECK NUMBER: 306753 GULFORT MS 39503 CHECK DATE: 01/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 2532161209 246.00 GENERAL PROGRAM SUPPL 0 00 0 � � � � 2 O q / & - n 2 @ o k % % � 0 40 2k � 0 c J . § ur a) 0) m -n N ƒ g § k o 0 0 � BN < coo co -n @ & to # # o $ J ri ƒ ® CA © m o a % / J � k k q 0 P 0 CD X r - 2 k > n P © 40 40 ® 0. C - m F. 0 0 0 0 0) \ § E d $ ; :E ] L7 - D K / - CD < = mi \ CD E & 0 0 < CL \ U M k > Q - f m - 0 0 \ 0 ( \ § n C m In J t : / CD 0 2 CD X ; e 2 k 2 D 2 E M N M o m P o E a & w m CD � kCL 0 o E a ) m R q $ $ o0 2 a CL � ' C | 2 m 2 0 o • RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S INVOICE# 2532-161209 15384 Fifth Street DATE 12/09/2016 Gulfport, MS 39503 DUE DATE 12/09/2016 TOTAL AMOUNT: $246.00 Bill to: Carmel Clay Parks& Recreation ,_^ TOTAL DUE $246.00 Attn: Carmel Clay Parks& Recreation * 1411 E. 116th St. Carmel, IN 46032 United States DESCRIPTION • Purch Ord(Trade Recv-12/09/16-Purch Ord/Trade Recv-Orchard Park 126;Forest Dale 120 $246.00 TOTAL AMOUNT: $246.00 RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S 15384 Fifth Street Gulfport, MS 39503 United States TOTAL DUE: $246.00 Customer Id: 2532-002 AMOUNT ENCLOSED: Invoice#:2532-161209 Bill to: Carmel Clay Parks& Recreation Attn: Carmel Clay Parks&Recreation 1411 E. 116th St. RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S Carmel, IN 46032 Remit to: 15384 FIFTH STREET United States GULFPORT, MS 39503 United States Questions: Contact kyliea.walker@rpmpizza.com (228)832-4000 DATE: 12/09/2016 TERMS: DUE DATE: 12/09/2016 PAGE 1