166292 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 361335 Page 1 of 1
t' ONE CIVIC SQUARE LITTLE CEASARS
CARMEL, INDIANA 46032 11530 WESTFIELD BLVD CHECK AMOUNT: $128.77
CARMEL IN 46032
CHECK NUMBER: 166292
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239039 11/11/08 128.77 GENERAL PROGRAM SUPPL
fi
Carmel o Clay NOV Y 3 2008
Parks &Recreation CHECK REQUEST BY:
Date: ho 102
Check payable to:
Name:
Address: l f�� Sz 4z
City, State, Zip C1 �4 22V �L
Mail check to payee Return check to requestor
Check Amount /IZ?I Date Required
Check needed for /razz. i
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO
Budget account GL
Budget Line Description
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date 1
Form revised 1 -21-08
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.
361335 Little Caesars Terms
Attn: Bob Flores
11530 Westfield Blvd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/11/08 11/11/08 Pizza 128.77
Total 128.77
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
Attn: Bob Flores
11530 Westfield Blvd
Carmel, IN 46032 In Sum of
128.77
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
INT Board Members
A 28.77 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
V materials or services itemized thereon for
which charge is made were ordered and
received except
17 -Nov 2008
Signature
128.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund