HomeMy WebLinkAbout197626 05/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 353453 Page 1 of 1
y ONE CIVIC SQUARE FAZOLI'S
CARMEL, INDIANA 46032 465 E CARMEL DRIVE CHECK AMOUNT: $303.82
CARMEL IN 46032
CHECK NUMBER: 197626
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 162600687 303.82 GENERAL PROGRAM SUPPL
Carmel a Clay
'arks &Recreation CHECK REQUEST
Date: April 27, 2011 MAY 1
Check payable to
Name: Fazoli's BY°
Address: 465 E Carmel Drive
City, State, Zip Carmel, IN, 46032
Mail check to payee x Return check to requestor
Check Amount 303.82 Date Required 5/26/11
Check needed for Catering for site celebration
To be paid from
PO (if applicable)
Budget account GL 4239039 C Ln� I
Budget Line Description General Program Supplies
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): A Amv Bal of
Requested by (signature):
Approved by (signature of Division Manager):
on this date -4
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
Fazoli s c Invoice Invoice 162600687
s
Invoice Date: 5/2/2011
Restaurant IN -1626
fast. fresh.italian.
Sold To: Delivery Address:
Customer Name: School, School Company Name: Smokey Row Elementary
Address: 900 w 136th st. Address: 900 w 136th st.
City, State Zip: Carmel IN 46032 City, State Zip: Carmel IN
Phone: (317) 418 -6917
Service Type: Delivery
Special Delivery Instructions: Delivery Date Time: 5/26/2011 5:00 PM
100 people Full Service: No
Qty Description Price. Amount
5 Chopped Salad $9.99 $49.95
6 Spaghetti with Meat Sauce $17,99 $107.94
7 Fettuccine Alfredo $17.99 $125.93
1 Delivery Fee $20.001 $20.00
Subtotal $303.82
Tax Tax Exempt
Total $303.82
Payment Type: Credit Card
Tax Exempt Tax exempt
Purchase
Description
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MAY 1 X011 P.o. _<<�3�
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Purchaser pate
Approval
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.
353453 Fazolis Restaurant 1626 Terms
465 East Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5!2111 162600687 Supplies 28504 303.82
EEEIE ''I'll 'I
Total 303.82
I 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.
353453 Fazolis Restaurant 1626 Allowed 20
465 East Carmel Drive
Carmel, IN 46032
In Sum of
303.82
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. AGCT #/TITLE AMOUNT Board Members
Dept
1081 -8 162600687 4239039 303.82 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
19 -May 2011
Signature
303.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund