HomeMy WebLinkAbout203848 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 353453 Page 1 of 1
s ONE CIVIC SQUARE FAZOLI'S CHECK AMOUNT: $214.90
CARMEL, INDIANA 46032 465 E CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 203848
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 162600878 214.90 GENERAL PROGRAM SUPPL
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 11/14/11
Check payable to
Name: Fazoli's
Address: 465 E. Carmel Drive
City, State, Zip Carmel Indiana, 46032
Mail check to payee x Return check to requestor
2 -q D
Check Amount
Date Required December 9 2011
Check needed for: Parents Night Out Party "Carols and Cocoa"
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1081 -4 Budget Line 4340800 E
Budget Line Description Program Contractor d�
NOV 1 5 2011
.i
Requested by (print): Valeska Simmonds
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Fazoli's Catering Invoice Invoice 162600878
Invoice Date: 11/14/2011
Restaurant IN -1626
fast. fresh.italian.
Sold To: Delivery Address:
Customer Name: Simmonds, Valeska Company Name: Carmel Clay Parks and Rec.
Address: Address: Forest Dale Elem
City, State Zip: City, State Zip: Carmel, IN
Phone: (317) 258 -6504
Service Type: Delivery
Special Delivery Instructions: Delivery Date Time: 12/9/2011 5:30 PM
Door 8 Full Service: No
100 people
Qty Description Price Amount
5 Spaghetti with Meat Sauce $18.99 $94.95
5 Fettuccine Alfredo $19.99 $99.95
1 Delivery Fee $20.00 $20.00
Subtotal $214.90
Tax Tax Exempt
Total $214.90
Payment Type: Credit Card
Tax Exempt 0123456789
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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
11/14/11 162600878 Parents Night Out 12/9/11 FD 214.90
Total 214.90
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.
353453 Fazolis Restaurant 1626 Allowed 20
465 East Carmel Drive
Carmel, IN 46032
In Sum of
214.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1081 -4 162600878 4239039 214.90 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
17 -Nov 2011
Signature
214.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund