312115 6/5/2017 w f,q
''•� CITY OF CARMEL, INDIANA VENDOR: 371006
ONE CIVIC SQUARE RPM PIZZA MIDWEST LLC CHECK AMOUNT: S*******222.00*
CARMEL, INDIANA 46032 15384 FIFTH STREET CHECK NUMBER: 312115
GULFORT MS 39503 CHECK DATE: 06/05117
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 2532170525 24.00 GENERAL PROGRAM SUPPL
GENERAL PROGRAM SUPPL
1082 4239039 2532170525 198.00
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.
371006 RPM Pizza Midwest, LLC dba Domino's Terms
15384 Fifth Street
Gulfport, MS 39503
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/25/17 2532170525 tse Training Lunch xx5345 $ 60.00
5/25/17 2532170525 M21 Camp Set Up 5/25/17 xx5302 $ 48.00
5/25/17 2532170525 BRGR/LTW Training Lunch 5/25/17 xx5303 $ 90.00
5/23/17 2532170523 Jr Counselors end of year Luncheon xx5338 $ 24.00
Total Is 222.00
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
r' e
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S INVOICE# 2532-170525
15384 Fifth Street DATE 05/25/2017
Gulfport, MS 39503 DUE DATE 05/25/2017
TOTAL AMOUNT: $198.00
Bill to: Carmel Clay Parks& Recreation RE l-r Y 1 TOTAL DUE $198.00
Attn:Carmel Clay Parks&Recreation
1411 E. 116th St. MAY 3 1 2017 1
Carmel, IN 46032
United States BY.
Purch Ord/Trade Recv-05/25/17-Purch Ord/Trade Recv-Carmel Elementary $198.00
TOTAL AMOUNT: $198.00
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE: $198.00
Customer Id: 2532-002 AMOUNT ENCLOSED:
Invoice#:2532-170525
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: 05/25/2017 TERMS: DUE DATE: 05/25/2017 PAGE 1
•
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S INVOICE# 2532-170523
15384 Fifth Street DATE 05/23/2017
Gulfport, MS 39503 DUE DATE 05/23/2017
TOTAL AMOUNT: $26.99
Bill to: Carmel Clay Parks& RecreationTOTAL DUE $26.99
Attn: Carmel Clay Parks&Recreation R �'�_' TA7r', b 71
1411 E. 116th St. I
Carmel, IN 46032 MAY 3 1 1017
United States
BY:
DESCRIPTIONI • •
Purch Ord/Trade Recv-05/23/17-Purch Ord/Trade Recv-Prairie Trace $26.99
AMON
pray ofi'w
TOTAL AMOUNT:
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE: $26.99
Customer Id: 2532-002 AMOUNT ENCLOSED:
Invoice#:2532-170523
Bill to: Carmel Clay Parks& Recreation
Attn: Carmel Clay Parks&Recreation
1411 E. 116th St.
Carmel, IN 46032 RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
United States Remit to: 15384 FIFTH STREET
GULFPORT, MS 39503
United States
Questions: Contact kyliea.walker@rpmpizza.com (228)832-4000
DATE: 05/23/2017 TERMS: DUE DATE: 05/23/2017 PAGE 1