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197722 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 361335 Page 1 of 1 ONE CIVIC SQUARE LITTLE CEASARS CARMEL, INDIANA 46032 11530 WESTFIELD BLVD CHECK AMOUNT: $100.00 CARMEL IN 46032 CHECK NUMBER: 197722 CHECK DATE: 5/2612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 128801 100.00 GENERAL PROGRAM SUPPL 12.8 01 B PRICE E V E IT IHCI V I T H R T X I. F 1 G A C DRESS P SLICE C P BABY C P E CRAZY BREAD B CRAZY SAUCE V u S I M I L Oi H I M pj O 1 B I IS B BO PN R A Cc SmLO❑ P I H I M IGPI O 1 B I IS IBF IBOIPNI R A cc S L O ❑©O 1�— P H M GP O B IS BF BOPN R A cc s L O P H M GPI O 1 B I IS IBFIBOIPNI R A cc INITIALS TIME READY SUB TAX NAME DEL FT0TAa PHONE ff s i Qrs ADDRESS /CROSS ROADS `E- WO151`6 100% CUSTOMER SATISFACTION �1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms 361335 Little Caesars 11530 Westfield Blvd Carmel, IN 46032 Invoice Invoice Description Date Number or note attached invoice(s) or bill(s)) PO Amount 100.00 4129111 128801 Supplies MT =Total$ 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. 361335 Little Caesars Allowed 20 11530 Westfield Blvd Carmel, IN 46032 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE Fund PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members Dept 1081 -5 128801 4239039 100.00 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 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund