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184429 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 4 ONE CIVIC SQUARE PAPA JOHNS INTERNATIONAL CHECK AMOUNT: $556.12 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 184429 CHICAGO IL 60677 -1001 CHECK DATE: 411 4120 1 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 518.22 CATERING SERVICE 1096 4239039 37.90 GENERAL PROGRAM SUPPL 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. 360623 Papa Johns International Terms Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/19/10 S1485100307 Dinner TNO 37.90 3126110 S1485100312 Pizza for parties 23229 51.90 3/28/10 S1485100318 Pizza for parties 23229 37.90 3128/10 S1485100319 Pizza for parties 23229 19.90 3/29/10 S1485100321 Pizza for parties 23229 19.90 3/27/10 S1485100317 Pizza for parties 23229 121.90 3/27/10 S1485100316 Pizza for parties 23229 121.90 4/1/10 S1485100325 Pizza for parties 23229 31.90 3/20/10 S1485100303 Pizza for parties 23229 21.69 3/20/10 S185100304 Pizza for parties 23229 21.69 3/21/10 S1485100305 Pizza for parties 23229 54.39 3120/10 S1485100302 Pizza for parties 23229 15.15 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_ TOTAL 556.12 Clerk- Treasurer Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 In Sum of 556.12 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1096 -70 S1485100307 1 4239030- 37.90 1 hereby certify that the attached invoice(s), or 1095 -2 S1485100312 4341993 51.90 bill(s) is (are) true and correct and that the 1095 -2 S1485100318 4341993 37.90 materials or services itemized thereon for 1095 -2 S1485100319 4341993 19.90_ which charge is made were ordered and 1095 -2 S1485100321 4341993 19.90 received except 1095 -2 S1485100317 4341993 121.90 1095 -2 51485100316 4341993 121.90_ 1095 -2 51485100325 4341993 31.90 1095 -2 S1485100303 4341993 21.69 1095 -2 S185100304 4341993 21,69 8 -Apr 2010 1095 -2 S1485100305 4341993 54.39 1095 -2 S1485100302 4341993 15.15 Signature 556.12 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund