318632 11/15/17 a` CITY OF CARMEL, INDIANA VENDOR: 371006
ONE CIVIC SQUARE RPM PIZZA MIDWEST LLC CHECK AMOUNT: S"'"''599.00'
=q CARMEL, INDIANA 46032 15380RTMSS3REET CHECK NUMBER: 318632
roNoo CHECK DATE: 11/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 2532171025 18.00 GENERAL PROGRAM SUPPL
1081 4239039 2532171026 234.00 GENERAL PROGRAM SUPPL
1081 4239039 2532171103 108.00 GENERAL PROGRAM SUPPL
1096 4239039 2532171104 239.00 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
371006 RPM Pizza Midwest, LLC dba Domino's Allowed 20
15384 Fifth Street
Gulfport, MS 39503
In Sum of$
$ 599.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-8 2532171025 4239039 $ 18.00 1 hereby certify that the attached invoice(s), or
1081-1 2532171026 4239039 $ 102.00 bill(s) is (are)true and correct and that the
1081-4 2532171026 4239039 $ 132.00 materials or services itemized thereon for
1081-5 2532171103 4239039 $ -/108.00 which charge is made were ordered and
1096-40 2532171104 4239039 $ ✓239.00 received except
November 8, 2017
Signature
$ 599.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
•
I
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S INVOICE# 2532-171025
15384 Fifth Street DATE 10/25/2017
Gulfport, MS 39503 DUE DATE 10/25/2017
TOTAL AMOUNT: $20.99
Bill to: Carmel Clay Parks& Recreation TOTAL DUE $20.99
Attn:Carmel Clay Parks& Recreation
1411 E. 116th St.
Carmel, IN 46032
United Statest7 2 Q� .
Purch Ord/Trade Recv-10/25/17-Purch Ord/Trade Recv-Smoky Row Elementary $20.99
Do not pay delivery fee per agreement.
Deduct per email on 9/20/16 from
TOTAL AMOUNT: E2
Kyliea Walker
Auditing Analyst Less Delivery fee LE-Sa--$ 2.99
RPM Pizza, LLC
PAY QNLY$r- 8:00
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE:
Customer Id: 2532-002 AMOUNT ENCLOSED: % CID
Invoice#:2532-171025
Bill to: Carmel Clay Parks& Recreation 110 'tLJ�1y FE
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: 10/25/2017 TERMS: DUE DATE: 10/25/2017 PAGE 1
a
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S INVOICE# 2532-171026
15384 Fifth Street DATE 10/26/2017
Gulfport, MS 39503 DUE DATE 10/26/2017
D TOTAL AMOUNT: $257.98
Bill to: Carmel Clay Parks& Recreation !TOTAL DUE $257.98
Attn: Carmel Clay Parks& Recreation 2017
1411 E. 116th St.
Carmel, IN 46032
United States
'DESCRIPTION/MEM ACEM
Purch Ord/Trade Recv-10/26/17-Purch Ord/Trade Recv-Carmel Elem 110.99;Forest Dale Elem 146.99 $257.98
NOTE:
Do not pay delivery fee per agreement.
PO XX-6027 = $ 102.00 TOTAL AMOUNT: $257.98
PO XX-6026 = $ 132.00 See Note for Proper Charges
PAY,ONLY$-234.00
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE: — ;8$
Customer Id: 2532-002 AMOUNT ENCLOSED: A34. 00
Invoice#:2532-171026
Bill to: Carmel Clay Parks& Recreation
Attn: Carmel Clay Parks& Recreation
1411 E., IN116th St.
Carmel, RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
United States CarRemit to: 15384 FIFTH STREET
GULFPORT, MS 39503
United States
Questions: Contact kyliea.walker@rpmpizza.com (228)832-4000
DATE: 10/26/2017 TERMS: DUE DATE: 10/26/2017 PAGE 1
•
IK PIZZA MIDWEST,LLC d/b/a DOMINO'S INVOICE# 2532-171103
15W r=unt Street
G~, MS 39503 DATE 11/03/2017
DUE DATE 11/03/2017
TOTAL AMOUNT: $108.00
Bill to: Carmel Clay Parks &Recreation TOTAL DUE $108.00
Attn: Carmel Clay Parks& Recreation
1411 E. 116th St.
Carmel, IN 46032
United States
Purch Ord/Trade Recv-11/03/17-Purch Ord/Trade Recv-0-Inv Num:11/03/17<1TR>Mohawk Trails $108.00
I
I
I
I
I
i
i
i
I
I
TOTAL AMOUNT: ;108.00
i
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE: $108,00
Customer Id: 2532-002 AMOUNT ENCLOSED: �Q f OO
Invoice#:2532-171103 V
Bill to: Carmel Clay Parks&Recreation
Attn: Carmel Clay Parks& Recreation
E. 116th
Car IN
Carmel, IN 460332 RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
Car
United States Remit to: 15384 FIFTH STREET
GULFPORT, MS 39503
United States
Questions: Contact kyliea.walker@rpmpizza.com (228)832-4000
DATE: 11/03/2017 TERMS: DUE DATE: 11/03/2017 PAGE 1
Y •
RPUI PIZrA MIDWEST,LLC d/b/a DOMINO'S INVOICE# 2532-171104
45W,Fifth Street DATE 11/0412017
Get'MIS.39503 DUE DATE 11/04/2017
TOTAL AMOUNT: $248.97
Bill to: Carmel Clay Parks &Recreation TOTAL DUE $248.97
Attn: Carmel Clay Parks& Recreation r
1411 E. 116th St.
Carmel, IN 46032 i 0
United States !
By: .. .........
Purch Ord/Trade Recv-11/04/17-Purch OrdfTrade Recv-0-Inv Num:11/04/17<1TR>Monon Community Center 7$248.97
,
U11
Incorrect c arge.
Should be: TOTAL AMOUNT:
37 pizzas @ 6.00 = $ 222.00
2.pizzas - -
TOTAL= $ 239.00 PAY ONLY$ 239.00
RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
15384 Fifth Street
Gulfport, MS 39503
United States
TOTAL DUE: $248&97
Customer Id: 2532-002 -� " AMOUNT ENCLOSED:
Invoice#:2532-171104
B;li�� 31 pizzas@��o= aaa.oa
Bill to: Carmel Clay Parks&Recreation S�u(d .[x 2 @ $.50= 1 -7.a0
Attn: Carmel Clay Parks& Recreation -----
2
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: 11/04/2017 TERMS: DUE DATE: 11/04/2017 PAGE 1