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188422 08/03/2010
CITY OF CARMEL, INDIANA VENDOR: 361335 Page 1 of 1 ONE CIVIC SQUARE LITTLE CAESARS CHECK AMOUNT: $656.77 CARMEL, INDIANA 46032 ATTN BOB FLORES 408 SW 2ND STREET CHECK NUMBER: 188422 RICHMOND IN 47374 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 656.77 GENERAL PROGRAM SUPPL �?H cy;t 11.2.6 3 4: B r PRICE E V E IT HC V T H R F T G A C DRESS P G 2� SLICE C P BABY C P E CRAZY BREAD B CRAZY SAUCE s PHM Qpl O I B I IS IBFIBOIPNI R A cc 7 S KA 0 PHM GP O 1 B I IS JB F BO PN R A cc -s O P H IMIGPIO I B IISIBF IBOIPNI R A cc i s O❑O® P H M GPF0]Bj@jBFjB0jPNjR A I cc INITIALS TIME READY SUB TAX y NAME. DEL TOTAL PHONE ADDRESS /CROSS ROADS.: CA CLA, A t (C S SATISFACTION ■DO�0000� CNN a �ao�noc��o� 000m000 000■■ MIa00000 UM OMMEMo ®Mmoo■■ m 000moQ03- moo■■ m ■MMMMER M 13oomoo®:32oo■■ i ON .y 4 ®lc� B PRICE E V E I IT IHCIV IT I I H DRESS c.7 X I FTGAC, P SLICE C P IBABY ICt c E CRAZY BREAD B CRAZY SAUCE N r u s I m 0 a P I H I M GP 0 I B I IS IBFJ BO PN R A cc s 0 P M GP O I B I IS IBFIBOIPNI R A cc S Ivy L 0 1:1 PHMG OBISBFBOPNRA cc S M G�71SIBFIBOIPNIR A cc INITIALS TIME READY SUB TAX NAME '�2 a�,MON DEL /A'Dr' D 0 TOTAL te PHONE ADDRESS /CROSS ROADS c aR V� 100% CUSTOMER SATISFACTION ■mm00� ■IOO ■00100001 ►���0 ©C70C�'�r �oo�o ;m goo■■ /III`►,' ICJ►' 1 I/ S -...11 -12 3L S r V?2 7y v J �f, L4 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. Little Caesars Terms CIO Bob Flores 408 SW 2nd Street Richmond, IN 47374 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5121110 126534 Program supplies 141.77 150.00 3/1110 129973 Program supplies 15.00 3/1/10 12954 Program supplies 23516 350.00 5127110 128858 Program supplies Total 656.77 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 -W -1.6 20, Clerk- Treasurer Voucher No. Warrant No. Little Caesars Allowed 20 CIO Bob Flores 408 SW 2nd Street Richmond, IN 47374 In Sum of 656.77 ON ACCOUNT OF APPROPRIATION FOR 108 ESE Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -2 126534 4239039 141.77 1 hereby certify that the attached invoice(s), or 1081 -10 129973 4239039 150.00 bill(s) is (are) true and correct and that the 1081 -10 12954 4239039 15.00 materials or services itemized thereon for 1081 -10 128858 4239039 350.00 which charge is made were ordered and received except 29 -Jul 2010 Signature 656.77 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund