HomeMy WebLinkAbout196458 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365227 Page 1 of 1
h 0 ONE CIVIC SQUARE MCDONALD'S USA, LLC CHECK AMOUNT: $172.92
CARMEL, INDIANA 46032 5750 CASTEL CREEK PKWY
ra .�o SUITE 400 CHECK NUMBER: 196458
INDIANAPOLIS IN 46250
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 040111 172.92 GENERAL PROGRAM SUPPL
McDonald's USA, LLC
Indianapolis Region
5750 Castle Creek Parkway, Suite 400
Indianapolis, Indiana 46250
317 849 -7950
IND�AJ.4 _DL'S•,
Fax: (317) 577 -7259
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APR 0 4 2011
BY:
X297
Carmel OClay
Parks &Recreation CHECK REQUEST
Date: March 29, 2011
Check payable to
Name: McDonalds
Address: 750 East Carmel Drive
City, State, Zip: Carmel, IN 46032
Mail check to payee X Return check to requestor
Check Amount $172.06 Date Required April 15,2011
Check needed for Site Celebration
To be paid from
PO (if applicable) o 1 1
Budget account GL 4239039
Budget Line Description General Program Supplies
invoices) and Purchase Order (if required) MUST be attached.
APR Q 4 2011
Requested by (print): Jessica Davis BY:
Requested by (signature): Jessica Davis
Approved by (signature of Division Manager):
on this date I �6
Form revised 7 -7 -08 Shared Administrative Forms I Staff forms Check Request (rev 7 -7 -08)
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.
McDonald's USA, LLC Terms
5750 Castle Creek Pkwy, Suite 400
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4!1111 411111 Site celebration WB 172.92
Total 172.92
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.
McDonald's USA, LLC Allowed 20
5750 Castle Creek Pkwy, Suite 400
Indianapolis, IN 46250
In Sum of
172.92
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. okCCT #[TITLE AMOUNT Board Members
Dept
1081 -11 411111 4239039 172.92 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
7 -Apr 2011
Signature
172.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund