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HomeMy WebLinkAbout200049 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA 1 CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $473.82 1108 SOLUTIONS CENTER CHECK NUMBER: 200049 CHICAGO IL 60677 -1001 CHECK DATE: 813/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 S1485110631 25.99 CATERING SERVICE 1095 4341993 51485110633 19.99 CATERING SERVICE 1095 4341993 S1485110635 19.99 CATERING SERVICE 1095 4341993 S1485110636 19.99 CATERING SERVICE 1095 4341993 S1485110638 31.99 CATERING SERVICE 1095 4341993 S1485110639 31.99 CATERING SERVICE 1095 4341993 S1485110644 31.99 CATERING SERVICE 1095 4341993 S1485110649 13.99 CATERING SERVICE 1095 4341993 S1485110651 13.99 CATERING SERVICE 1095 4341993 S1485110654 25.99 CATERING SERVICE 1095 4341993 S1485110655 19.99 CATERING SERVICE 1095 4341993 S1485110656 43.99 CATERING SERVICE 1095 4341993 S1485110658 25.99 CATERING SERVICE CITY OF CARMEL, INDIANA VENDOR: 360623 Page 2 of 2 `3. ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $473.82 1108 SOLUTIONS CENTER CHECK NUMBER: 200049 CHICAGO IL 60677 -1001 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 S1485110666 19.99 CATERING SERVICE 1095 4341993 S1485110673 37.99 CATERING SERVICE 1095 4341993 S1485110675 49.99 CATERING SERVICE 1095 4341993 S1485110678 19.99 CATERING SERVICE 1095 4341993 51485110679 19.99 CATERING SERVICE PLEASE PAY FROM "1115 INVOICE Please remit t.x Papa Johns International Dept 771108 1100 SOLUTIONS CENTER U CHICAGO, IL 60077-1001 gq:3 Invoice V l S1405- 11 0631 Tax ID 0. 0119683083 V0, PO it: 1137 J n.: 1:: I:, kM: kwRY1 ':Y.1.�:tM:Y: W:k,R FM•I: *:K *:r. l Name: Motion Center Address: 11111 N MERIDbO ST CARMEL IN 46031.' Custil 114472 PhoneN: (317)048 -7275 Sea: Delivery Remarks: brooke west entrance t Kk: YWiK etrKRM.xx #AA.t:YtVt��:�fxx Y *Y�xR:1:Mrr4 z Order 11: 0002 Phone /Dellvdry Out Time: 11:18 :06 am ElapsedTime: 12:19 1 <14S> 141n School 6.00 +Chicago Cut (Unit Price 6.00) 1 <14S> 141n School 6.00 +Chicago Cut +Sausage (Unit Price 6.CO) 2 <14S> 141n School 12.00 +Chicago Cut +Pepperoni (Unit Price 6-00) Delivery Fee 1.99 Subt61 25.99 Disoollnt: 0.00 "mx: Exempt h Total: 25.99 I F.�' Tip; j h 201 Grand Total; Payment Type: Account Any delivery fee charged i., not a tip For the driver. Please r0inrd your Driver with a tip for oulstanding service. x��. Asa: M: �a: �x:: r: Mr M *.�x�,raK►xx�•r�r.:r�v 1 Customer Signature w Customer Titls 2% CHARGE IF 140T PAID WITHIN 30 DAYS 274186 05/16/201 11:00am i i II i i 1 11CI- o 1'LEASC PAY FROM THIS INVOICE Ploase remit to: Papa' Johns Interna'L101 Dept.. 771 toe 1108 SOLUTIONS CENTER CHICA40. 1L E0077 -1001 #;r:Ky.K:K'4k- r #�ixxa xxk�:'#' *ka:4 #k# �A9Y1+elk Invoice S 1486• 1 1 Tax ID If: 01106830113 r NO 1I: 1137 1:fi k NKxI: 9: 'k:RM7�4•k+K'kA%::L•Xi:4:h4.jY. F:K%K:k A! {i:l +k:#- KkY::K:K Nagle: Monon Center Address:' 11111 N MERIDIAN ST :CARMFL IN 46032 L'us'tU; 114472 Phonall: (317)54 -7275 Sec" Delivery Romarka: S- 20 t i kovin Y. #��'��:K'f'K' aka +e.AKFkMta:�+Kd4 +1xr4as:r4 �h -K k l+t order 1I: 0013 t Phone /UeIiverY out 'fiule: 011:16,22 play ElenSadTima: 1 0.0 1 <14S> 14J1 School +Chicago Cut (Ujtiit Prir.* 12.00 2 <14S> 141n School +Chio8gc Cut «Poppe rein 1 (pni•t Price B•OO) 1.09 Delivery Fe® 5uptotal: 1 Discount: 0.00 y y 9 TaK: Exempt 1011 N+ Total: BY: Tip: [band To Payment Type Anoount Any delivery fee cltrlr¢ad is not a tip for the driver. Plouse reward your Driver with a Lip for outstanding` service. lK7K'!W *i:KMrt%r'k:Y+K:K+K:K:KM tlx:r.K:l'k'N N:K:1:r,k1A.viU:1: A:4•:FW a. Customer Signature r Cuetamer TItle_ 2 CHARGE IV NOT PAID WITHIN 30 DAYS 0L© 3oi -J30 X3C13-1 cl�lb PLEASE PAY FROM THIS INVOICE Please remit t0: Papa Johns International Dept 771108 1108 SOLUTIONS CENTER CHICAGO, IL 60677 -1001 V Name: Monon Center Address: 1235 Central Park Dr Carmel IN 46,032 PhoneH: (317) 848 -7275 Sector: E4 Invoice 11: S1485 -11 -0635 Tax ID k: 0119683083 i r PO'N: 1137 Order 1 1:" 0002 Phone Delivery Delivery Remarks: kevih l 270463 2011- 05 'l1 0 PM Out Time: 04:17 PM 1 <14S> 1411 School 6.00 +Chicago Cut 12,00 2 -14S> 14in School +Chicago Cut ±Pepperoni Delivery Feo. _._1_ Subtotal: 19.99 Discount: 0,00 Food Tax: 0,00 Tax: 0.00.' Total: 19.99 Tip: Total: delIWA 1 3 2011 Any fee charged is not a...tip for the driver.. Please reward your Driver with a tip for outstanding service. u tomer Signature Customs Ti e 2% CHARGE -IF NOT PAID WITHIN 30 DAYS i i Q7-) PLEASE PAY rROM THIS INVOICE F'lea�ra remit tu: Papa Johns Internotional Dept 771108 I 1108 SOLUTIONS- CENTER GIIICAGO, ik. NO077 -1001 M?< 14*': R: kA :rr•�':¢w�.'K:4W4:4 +k' #4a:N:F A -.F w:►.Y.:N N::K i:x Invoice It; 31 48 1.1 -0 E313 1'ax, ID 11: 0116663003 P0 1137 Name: Monun Center Address: 1235 Central P2j'k Dr Carmel TN 4303i. Custll 114472 Phonell: (317)848 -72715 Sea: E4 Delivery Remarks: kovin sF'fi'�1:FN�+N ?+FK�����kx:+Nr� ��.N=M�- #a•+1f N!N *K+�N *N<wk� Order 4; 0003 P110i'le /Del iver'y s Out ']dine: 04:;16:64 pm ElapseciTime: 12.09 3 <148> Min School 18.00 +chloa6o Cut (Unit Price U.00) Delivery Fee 1.99 Subtotiil: 16.09 Discount: 0.00 1'ux: FxomPt TotaI: 19•.99 lip. Urund Iotal:: Payment Type: Account Any delivery fee dharyed is not a tip for the driver. Pleasb reward your 1 37n1 Driver with a tip for uu0tanding ?L JU L. Llf1 service. 'bTN- ►�KX X: k: N: r+ K+ K: 4�' k��+ l' hfrt4Wru 1: lie st Cturo Cuetower 2% CHAIWE iF NUT PAID WITHIN 30 7AYS 270463 06/21/2011 04:30pm 9T9T -B TS LTE 69:ET TT0Z /ZT /L0 c PLEA`.�,t PAY FROM THIS TNUUICE Please remit to: Papa Jol irr In t rrnat i ona l Dept 771108 1108 SOLUTIONS CENTER CHICAGO, IL 60677-1001 Name: Monon Center Addresb: 1235 Central Park Or i Carmel IN 46032= Phonelt: (317) 848 -7275 Sector: E4 Tnvoice B: $1485- 11-0638 Taxi 119683083 PU 1137 i Order 4: 0001 Delivery Del ivory Remark.: Brooke 274185 2011-05 -29 12:00 PM Out Time: ,12:20 PM 5 -14S> 1Ai "n School 3D.00 c, j +Chicago Cut DoIIvery Fee 1.99 JUL 13 -2 p11 Subtotal: 31.99 BY. Discount: 0.00 Find Tax: 0.00 Tax: 0.00 Total. Tip: Total. Anv de I i v fee charpt,d I s "Ot a tip for t1 ar i ver P I ease reWf 'd your Or i ver W i,th 49 tip, for;. outstanding sei i ce CL er Si gnature stomer Tit] 2% CHARGE IF NOT PAID WITHIN.30 DAYS, C PLEASE PAY 1' THIS 1 V'� INVOICE E Pleaeo remit tu: Papa Johns 11Ttern8tlor f Dept 771106 1108 3UL111IONS CL•M'ER CHICAGO. It- 44 ASka':YW:K #i. i, ►A� ioice 6fA4b6 -11 -0639 K lU 11: 0119663083 PU 1i. 1137 IF* 4• **W *:MSM *4s *AC+ ec Mor"on Canter 1235 Control Park Ur Carmel IN 48032-- "tU: 11447E Sac: E4 Gry I -7 inetl: (317 }BAO 727 5 livery Roncarks: �9 yoke 11 V V F.. 1 iV 1 1 ��1 l:Y Ais "k:/A:k:kb "A#.Y::F':YM;K4t: iF +�MbK r:kKA�i *I�W #F Order ft: 0002 Phone /Delivery t Time: 03;46:63 pm klapaedl'imat 12,UU BY: 2 <145> Jilin 5ohool +Chloago out *Sausage (Unit Price 6.00) 12.(j0 2 c146> 141ri Soha01 +Chicago Cut +Pepperani (Unit Pric 6.00) g UO 1 <14S) 141n School +Chiow cut (Unit Pried 6.00) )livery Fee subtotal.. 31.90 pisoount: o.00 Tax: Exempt 'rotal: 31.99 Tip: Grand Total. 'aylpant Type: ACCOUnr yny delLvdrY faa ohargud is not a 'LIP for the dr�vor. Pioaau reward your )river with b 'kip For outs'landing service. ru to n 0 -1 a Lre' n r nv rrr�c u� PL.EASF PAY FROM THIS INVOICE Please remit tu: Papa Johns International Dapt 771100 1108 SOLUTIONS CENTER '311ICA00, IL. 60877 -1001 j �S- a I k#* kVk. k' F. Fk#: k## k*. a #Yk7c #kKY:Ft. *ir•R #M'kfM'tt #t� Invoice 61 7ax ID 11: 0110 83083 PO 0: 1137 k#* k##: Fxn% iA: %%�:i:K #.T•se:x.� #,k #.Y..W.:R I:k #+k:K tk.N 7K:RY� Name: Monon Center �1 Address: 1235 Central Park Dr Carmel IN 46032- Cust1t: 114472 Phonell: (317)846• 7275 Soo: E4 Delivery Remarks; brooks Order U: 0013 Phone /Delivery Out Time: 05:66:24 lam ElapsedTime: 12;25 2 <14S> 14111 School 12.00 +Chicago Cut +PepperonJ (Unit Price 6.00) 2 <14S> 141n School MOD +Chicago Out r- b +Sausage (Unit Price 6.00) t Jl.11 1 <14S> 141n School 0.00 +Chicago Cut (Unit Price 6.00) G' 918 Y. Delivery lea 1,99 o Subtotal: 31.99 Discount: O.OU Tax: Exempt Total: 31.99 "rip: Grand Total: Payment Type: Account Any delivery 'Foe rhnrged Is not; e1 tip for the driver. Please renard your Driver with a tip for outstanding service. t# sx! YYtkk*###.' kWfi�:kx:rrr�%7. #kilc #W.+Y.:i: h lh x:law *-k# Customer signature Customer TJtle 2% CHARGE IF NOT PAID WITHIN 30 DAYS .136478 06/04/2011 05:30pm LB -1b1b rc.Lr-n urr i�c PLEASE PAY FROM TI-11 INVOICE Please remit to Papa Johns Inlerna•tional Dept 171108 1108 SOLUTIONS CENTER 1 1 CHICAGO, IL 60677•-1001 V k #:1 #K#'YitK #'Yt' #Y. #:K #YAK #N:t #MVRM::F4 Invoice 4: 31485 -11 -0849 (p C) Tax ID 4: 0110003563 PO 11: 1137 Name: Monon Center Address: 1235 Central Park Or Carmel IN 40032- Custll: 114472 Phonell: (317)8413 72 Sec. EA Delivery Remarks: Poo 1137 1, order 0: 0001 Phon9 /Delivery But Time: 10:0.3.30 t,m ElapsedTime: 12:19 1 <14S> 141n School 8.00 +Chioago Cut (Unit Price 6.00) 1 (148> 141n S01)ool 6.00 tChtcago Cut +Papperont (Unit Prica 6.00) Delivery Fee 1.88 Subtotal: 13.89 Discount: 0.00 Tax: Exempt Total: 1:x.99 Tip: brand To tal: Payment Typo: Aucount Any delivery fee ch,irgod is n01; a tip for the driver Pleoga reward your Driver with a tip for outstanding service. I L 1 3 cu 1 Cust©msr Signature BY: Customer Title 2% CHARD£ IF NOT PAID WITHIN 30 DAYS 274185 06/11/2011 09:45nm 1 PLEME PAY FROM THIS C j INVOICE l Please remit tu: Papa Johns international Dept 771108 1108 SOLU CENTER CHICAGO, IL 60677 -1001 Noma- Manon Center Atidcols: 1235 Central Park Or Carmel IN 46032- I'Iitit,rH: (317) 848-7275 Sector: F4 1 rvo l i -e N: 51485 -11 -0651 i.ix IP N: 0119683083 C� PO 9: 1137 01"(411 N: 0002 Phone Delivery PvI ivory Remarks: PON 1137 2 74 18 2011 -06 -11 04:30 PM Ihit Time, 04:39 PM 2 14S- Min School 12.00 C Icago Cut f lopperon i Delivery Fee 1.9 Subtotal: 13.99 Discount: 0.00 Food Tax: 0.00 Tax: 0.00 Total; 13.99 Tip Total: Ai iv del Ivery fee charged i s not a tip f(A thc driver. Please reward your Drivel with li for outstanding servirA JUL PIR, 1 3 9011 tourer SI� BY Customer T i 2% CHARGE T PAID WITHIN 3 L! L L LOZ L L 90 9 PLEASE PAY FROM THIS INVOICE Pleube remit to: Paha ,johns International Dept 771109 1108 SOLUTIONS CINTER -341 CHICAGO, IL 60677 -1001 Invoioe 11: S1485• -1 1 ••0654 Tax M 11: 0119683083 PO 0: 1137 Name: Monon Canter Address; 1235 Central Park Dr Carmel IN 46Q32- CustN: 114472 Phonall: (3'17)848 -7276 Sec: E4 Delivery bmarks: kovin Order 8 0020 Phone /Delivery Out Time: 06:22:27 pm Elapsod'Piwe: 12 :22 2 <14S> 141n Sohool 12.00 +ChiO490 Cut (Unit Price 6.00) 2 <14S> 141n School 12.DO +Chlobgo Cut +Poppsroni (Unit Price 6.00) Delivery wee 1,09 Subtotal: 25.98 Disc 0.00 Tax; Exep,pt Total: 25.99 Tip: Grand Total: Payment Type: Aocount A.ny delivery fee chargers is not a tip for the uriver. Please reward your Driver with a tip for outstanding sUrvice. JUL J BY C tome Signature Customer 1';.t1a 2% CHARGE IF NOT PAID WITHIN 30 DAYS 270463 06/17/2011 06:OOpill 3oI -A-AQ X3Q3.9 9 19 T -1 rLEAuc m m uff 'I'11I5 INVOICE Please remit to: Papa Johns International Dept 771106 1108 SOLUTIONS CENTER "1 CHICAGO, IL 60677 -1001 �U��' l nvoice 11: C'" lJ 51485 -11 -0655 Tax ID 0: 0119603003 PO 4i: 1137 Me: Monon Center ddress: 1235 Central Park Or CArmel IN 46032- .ust 114472 hone11: (317)848 -7276 Seo: E4 rallvery Remarks: evin (o t$ X0 11 Order 0: 0001 Phone /Delivery Jut Time: 11:15 :04 am 6lapsed'i•iine 12:15 1 <148) 14in School 6.00 +01cag0 Cut +No Sauca +Pepperoni (Unit Price 6.00) 1 <143> Min School 6.00 Chioago Out +Pepperoni (Unit Price 6,00) W I <14Sy 141n School 6.00 ►Chicago Cut (Unit Price 6.00) lalivery Fee 1.99 Subtotal: 19.89 Discount: 0:00 Tax: Exempt Total:, 19.99 Tip: Grand Total: ayment Type: Account ny delivery fee charged is not a tip 'or the driver. Please reward your giver with a tip for outstanding BY: ervice. Custom r Signature Customer Title Z0 Dove bRl rLt:AOr r N T MUM THIZ INVOICE Fl�sase remit to; papa In't'ernational Dept 7 -71108 1106 SDLU11ONS CENTER CHICAGO, IL 60677 -1001 W� :MXkF4:EM:ttKKiA xgt>1c:kMc+t:M>t:tt: D: Y:. ♦'+M:Y. *tk�c %�h�.Mt Invcicle �J S1486- 1 0 Tax 1D U: 0119883083 p(1 it: 1137 *i t:lt il:M %t: talc *:k�:1kM::bM: *A:tK *;1::Ici:�x+1::l: h!kk.M+Y•• Name: Nonon Center Address,: 123b Central. Park Dr Carmel IN 48032•- Cuwtll 11'4472 Phonett: (317)840 -727b sec'. Dellvel Remarks: kevin ��K%+ *WN.:k'M: K:i: tYk+kK:P+ki afci:7' «W7F *iv[ Order 0: 0002 Flhone /Dellvary out Tim-a: 12 :20:39 pea ElapsedT'ime 1 <146> 141n School Ghiclago Cut +:i.eUea90 (Unit Price 6.40) 3 04S> 141n School *('hicago Cut E- UD c (IJilt Price 6,00) 3 046> 141n School -rCalOago Cut •1•1 3pprivorli j O (ij)lt Price k3.00) Deliver+ Fee Subtotal: Discount: Taw: �C"w1t~tt Total: a. Tip. Grand Total: L l�) 99 Paymen t Type: Acocunt Any delivery t'ee charged is not o for 'tho driver. Please reward you Driver with a 'tip 'for outstanding service. r�x+* u. ck�: x: r•- H :rx:x *.tks»: *�kwk�� -vt Gubtomsr S19nature �d «�y� Cus'towar Tltle J L'. 1 1011 2X CHARGE IF NOT PAID WITHIN 30 DAYS ]BY: 270463 05/16/2011 S. /qQ PLEASE PAY FROM THIS INVOICE l Please remit 1'o: Papa Johns Internitional ,C3 Dept 771108 i O 1108 SOLUTIONS CENTER 0 CHICAGO, IL 60677- •10O'1 (Voice 0: �x ID it: 0119683083 PO il: 1137 Pme; Monon Center 8dress; 1235 Central Park Dr Carmal IN 48082 Pustlt 114472 Phoned: (317)848 -7275 Sec: E4 Delivery Remarks: kevin YM: k# kY?K: �X4Y�4kt�Xkak�: :kKyMI�oc;K�: *W #.kr• #1:* r. Order U: 0003 Phone /Delivery out 'rime: 12:40:35 pw E'lapvadTime: 12 :10 i <14S) Ain School 6.00 -Chicago Cut (Unit•Price 6.00) 2 <14S> 141n School 12.00 +Chicago Cut +Pepperonl (Unit Price 6.00) 1 <14S> Min Schaal 8.00 +Chicago Cut (Unit Price 6.00) Delivery Fee 1.9s Subtotal: 26.99 Dlscounk: 0.00 Tali: Exempt Total: 25.99 Tip: Grand Total: Payment Typo: Aorount Any delivery fee charged is not a tip for the driver. Please reward your Driver with a tip -for nutstending JUL 1 3 2011 service. M4K�k: kkA' X* Y# M: XkY�. tl7k1� 'X.�lhs� #%K *�k'k *;K� BY: Cus aver Signatura Customer Title 2% CHARGE IF NGT PAID WITHIN 3o DAYG 4T.4T RTR T.F. 09 :ZT TTOZ /CZ /9 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. 360623 Papa Johns International Terms Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 Invoice Invoice Description Date Number or note attached invoice 25.99 s) or bill(s)) PO Amount D 6115111 S1485110631 Party pizza 19.99. 5/20111 S1485110633 Party pizza 19.99 5121111 S1485110635 Party pizza 19.99 5121111 S1485110636 Party pizza 31.99 5129111 S1485110638 Party pizza 31.99 5/29111 S1485110639 Party pizza 31.99 614111 51485110644 Party pizza 13.99 6111111 S1485110649 Party pizza 13.99 6111111 S1485110651 Party pizza 25 99 6117111 S1485110654 Party pizza 1 99 6118111 S1485110655 Party pizza 43.99 6118111 S1485110656 Party pizza 25 99 Party 6118111 S1485110658 Pa pizza 19.99 6130111 S1485110666 Party pizza 37 99 712111 S1485110673 Party pizza TOTAL 383.85 with IC 5- 11- 10 -1.6 .20 Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 In Sum of 473.82 TOTAL OF 2 PAGES ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -2 S1485110631 4341993 25.99 1 hereby certify that the attached invoice(s), or 1095 -2 S1485110633 4341993 19.99 bill(s) is (are) true and correct and that the 1095 -2 S1485110635 4341993 19.99 materials or services itemized thereon for 1095 -2 S1485110636 4341993 19.99 which charge is made were ordered and 1095 -2 51485110638 4341993 31.99 received except 1095 -2 81485110639 4341993 31.99 1095 -2 S1485110644 4341993 31.99 10 -2 S1485110649 4341993 13.99 1095 -2 S1485110651 4341993 13.99 1095 -2 S1485110654 4341993 25.99 1095 -2 S1485110655 4341993 19.99 1095 -2 S1485110656 4341993 43.99 1095 -2 S1485110658 4341993 25.99 26 -Jul 2011 1095 -2 S1435110666 4341993 19.99 1095 -2 S1485110673 4341993 37.99 a Total from page 2 89.97 Signature 473.82 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 360623 Papa Johns International Dept 771108 1108 Solutions Center Chicago, 1L 60677 -1001 Invoice Invoice Description PO Amount Date Number (or note attached in or bill(s)) 49.99 719111 S1485110675 Party pizza 19.99 7/10111 S1485110678 Party pizza 19.99 7110111 S1485110679 Party pizza TOTAL 89.97 with IC 5- 11- 10 -1.6 20 Voucher No, Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 In Sum of SEE FIRST PAGE ON ACCOUNT OF APPROPRIATION FOR 109 Morton Center PO# or INVOICE No. ACCT #[TITLE AMOUNT Board Members Dept 1095 -2 S1485110675 4341993 49.99 1 hereby certify that the attached invoice(s), or 1095 -2 S1485110678 4341993 19.99 bill(s) is (are) true and correct and that the 1095 -2 S1485110679 4341993 19.99 materials or services itemized thereon for which charge is made were ordered and received except 26 -Jul 2011 Signature 89.97 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund