320205 01/04/2018 CITY OF CARMEL, INDIANA VENDOR: 371006`::. .
d ONE CIVIC SQUARE RPM PIZZA MIDWEST LLC CHECK AMOUNT: $*******324.00*
CARMEL, INDIANA 46032 15384 FIFTH STREET CHECK NUMBER: 320205
rTON.001GULFORT MS 39503 CHECK DATE: 01/04118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 2532171213 30.00 GENERAL PROGRAM SUPPL
1081 4239039 2532171215 294.00 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 371006 Allowed 20 whom rates per day,number of hours,rate per hour,number of units,price per unit,etc.
RPM Pizza Midwest,LLC dba Domino's Payee
15384 Fifth Street
Gulfport,MS 39503 In Sum of$ 371006 Purchase Order#
RPM Pizza Midwest, LLC dba Domino's Terms
$ 324.00 15384 Fifth Street Date Due
Gulfport, MS 39503
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
Po#or
Invoice Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-7 2532171213 4239039 $ 30.00 Board Members 12/13/17 2532171213 PT Staff Meeting 12/13/17 xx6168 $ 30.00
1081-4 2532171215 4239039 $ 102.00 12/15/17 2532171215 PNO Dinner 12/15/17 xx6233 $ 102.00
1081-9 2611171215 4239039 $ 192.00 1 hereby certify that the attached invoice(s),or 12/15/17 2611171215 PNO Dinner 12/15/17 xx6232 $ 192.00
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
$ 324.00 Total $ 324.00
December 27,2017
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 120
Accounts Payable Coordinator Clerk-Treasurer
Title
•
RPM PIZZA MIDWEST LLC d/b/aDOMINO'S.
"-34145450Fifttr . .. .
. _ NUOICE 532 17 213
G If ort, MS 39503 ]]ATE 12113/2017.
. DUE DATE .12/13/2017
,TOTAL AMOUNT: $30.00
-Bill-to: Carmel Clay Parks.&Recreation TOTAL DUE $30.00
Attn: Carmel Clay Parks&RecreationIRW
1411 E. 116th St .
Carmel,,]N -46032.
United States
DEC-Z 1: 2011' . .
k,�9111111111111h
Purch Ord/Trade Rew-12/13/17.-Prairie Trace. $30.00
TOTAL AMOUNT: $3 !00
RPM PIZZA:MIDWEST; LLC d/b/a.DOMINO'S -
15384-Fifth Street : : ..
Gulfport;MS 39503:- -
U nited'
9503 -United'States
TOTAL DUE: $30i00.-
CUStOfller Id; 2532-002 AMOUNT.ENCLOSED:
nvoice:#:2532'17:1213
Bill.to Carmel Clay Parks.&:Recreation
Attm Carmel Clay.Parks&Recreation
-:1411 E.'.116th-SL
Carmel,; IN 46032 . - RPM.PIZZA:MIDWEST,LLC dlb/a DOMINO'S
United States Remit'to' A5384 FIFTH:STREET .
GlJLFP.
ORT, MS:39503-:
U `t
nl ed:States
Questions. Contact kyliea.walker@rpmpizza.com (228):832-4000
DATE: 12/13/2017 TERMS: DUE DATE: 12/13/2017 .. PAGE 1
RPM PIZ-ZA MIDWEST LLC d/b/a DOMINO'S. INVOICE# .: 2532 171215"" "
15384 Fifth Street DATE: 12/15/2017
Gulf ort, MS 39503
UE BATE 12/15/2017"
"
- - TOTAL AMOUNT: , $104.99
Bill"to: Carmel Clay ParkS.&Recreation" TOTAL DUE $104.99 "
Attn: Carmel Clay Parks&Recreation N `
1411"E. 116th St. .
Carmel,'IN 46032: 201Y-
DEC
United States
Purch Ord/Trade Recv-12/15/17.-Forrest Dale:- $104..99
Do not"pay _e ivery" ee per agreemeftt:. .
;Deduct"P er email-on 9/20/16 from ....
Kyliea Walker TOTAL AMOUNT:" $� s
Auditing.Analyst Less Delivery fee: LESS $:2.99
KPM Pizza, L .
RPM PIZZA:MIDWEST;.LLC d/bla.DOMINO'S"
15384 Fifth Street
:Gulfport,MS 39503
United States
TOTAL DUE: .. $1104:99.. ."
"
CUStorner ld3 .2532-002 _ AMOUNT.ENCLOSED:"
nvoice:#:2532-17.1215:.
Carmel Cla Parks&:Recreation
B111110- :Attn! Carmel"Clay Parks&Recreation
: : 1411-E..116th-St.l.
RPM PIZZA"MIDWEST, LLC dibia DOMINO'S
Carmel; IN 46032
EET
-United-States . :
RT, MSR3 503:: ."
R
emit"to• 15384 FI
- Uni"t
FP :.
United:States
Contact kyliea.vvalker@rprrtpizza.com (228)832-4000
DATE: .12/15/2017 ".. " " :TERMS: : DUE-DATE;:- :12/1:5/2017 PAGE"!
. ..
7.
.. ..
RPM PIZZA MIDWEST, LLE d/b/a DOMINO'S.
1384 Fifth Street
INUQIGE# 2611-17121.5
. Gulf Ort, M`S 39503 DATE '. 1.2!15/2017
DUE DATE . .12/1512017
TOTAL AMOUNT-: .$192.00
"Bill to: Carmel Clay Parks&: ReCreatlon � TOTAL DUE $192.00
Attn: Carmel Clay-Parks&Recreation : IRF '`�
1411 E.
th
Carme.I,:IN646032 DEC. 1 .ZO11.
United States
BY
11 . . .
Purch Ord/Trade Recv-12%15/17.-Towne Meadow'Elem Sch ' $192.00
r ..
Ila
. TOTA AMO
UN7� f
$�92yQ0
RPM PIZZA:MIDWEST;.LLC d/b/a.DOMINO'S
15384 Fifth Street..
Gulfport,MS 39503: ,.
United'States
TOTAL DUE: $192:00 -
Customer Id: 2532-002 - AMOUNT ENCLOSED:
Invoice.#:2611=17:1215..
a.
Bill for C rhiel Clay:Parks.&:Recreation
Attri:Carmel Clay Parks&Recreation.
-
: 1411-E. 116th St.:. _
- .- Qatmel;'IN 46032.
ST, LLC d/b/a DOMINO'S
United States
Remit-to.: R 384 FI TH SDR ET
GULFP.
O.RT, MS'39503::
United:States-Questions: Contact kyliea.walke'r@rpmpizza.com (228);832-4000
DATE: 12/15/2017 TERMS: DUE DATE; : 12/15/2017 PAGE 1