318956 11/21/17 r Cqq'
CITY OF CARMEL, INDIANA VENDOR: 371006
® ONE CIVIC SQUARE RPM PIZZA MIDWEST LLC CHECK AMOUNT: $ *****"*18.00*
i" CARMEL, INDIANA 46032 15384 FIFTH STREET CHECK NUMBER: 318956
9irtiN.a�'` GULFORT MS 39503 CHECK DATE: 11/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 261117110'8 18.00 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$
$ 18.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. 4CCT#JTITLE AMOUNT Board Members
Dept#
1081-10 2611171108 4239039 $ 18.00 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
November 16, 2017
1PAN"VXt/U
Signature
$ 18.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
RPM PIZZA MIDWEST,-LLC d/b/a DOMINO'S.
- INUgICE# 26 -171108
15384.Fifth.Street: SATE 1 IosI2o17
G.0port,:MS 39503 DUE DATE 11/0®
,TOTAL AMOUNT: , $35.97
B111-to: Carmel Clay Parka.&ReCreatlOn TOTAL DUE $35.97
Attn: Carmel Clay Parks&Recreation
1411 E. 116t1i St: . -
Carmel,.IN 46032 �i
United States .
� NOV S 2017::
Purch Ord/Trade Recv-11/08/17.-West•Clay Elementary. $35.97
Per.Fe'e Agreement..
3 .Pizzas @.16.00.= $:18,00
TOTAL AMOUNT: .
mowRPM PIZ� MIDWE-ST, LLC d/b/a O
15384 Fifth Street
Gulf ort, MS 39503 '.
United States
TOTAL DUE:
Customer Id: 2532-0.02 , ; Per�Fe'e Ag>eetn�nt MOUNT ENCLOSED: (8:DC7
Invoice#:2611-17.1.108
318:00
Bill.to.-- Carmel ClaY'Parks.&Recreation -
Attn Carmel Clay-Par. s ecrea Ion
: 1411 E. 116th St.'.
Carmel, IN 46032... RPM PIZZA MIDWEST, LLC d/b/a DOMINO'S
United States . . Remit it to: 15384 FIFTH:STREET
em .
U
G _LFP.ORT, IVIS 39503.
U .
nited:States
Questioris'Contact kyliea.Walker@rpmpizza.com (228).8327 4000
DATE: 11/08/2017 'TERMS:, DUE DATE: 11/Q8/2017 PAGE 1