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192678 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 361335 Page 1 of 1 ONE CIVIC SQUARE LITTLE CEASARS CHECK AMOUNT: $270.00 CARMEL, INDIANA 46032 11530 WESTFIELD BLVD 'c; oM La CARMEL IN 46032 CHECK NUMBER: 192678 CHECK DATE: 12/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 129841 35.00 GENERAL PROGRAM SUPPL 1081 4239039 129842 85.00 GENERAL PROGRAM SUPPL 1081 4239039 129909 150.00 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. 361335 Little Caesars Terms 11530 Westfield Blvd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/12/10 129842 Program supplies 85.00 11/19/10 129841 Program supplies 35.00 12/3/10 129909 Program supplies 150.00 Total 270.00 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_ Clerk- Treasurer Voucher No. Warrant No. 361335 Little Caesars Allowed 20 11530 Westfield Blvd Carmel, IN 46032 *make sure this address In Sum of 270.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -1 129842 4239039 85.00 1 hereby certify that the attached invoice(s), or 1081 -99 129841 4239039 35.00 bill(s) is (are) true and correct and that the 1081 -10 129909 4239039 150.00 materials or services itemized thereon for which charge is made were ordered and received except 9 -Dec 2010 Signature 270.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund