HomeMy WebLinkAbout168945 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 362445 Page 1 of 1
ONE CIVIC SQUARE DOMINO'S PIZZA
CARMEL, INDIANA 46032 841 S RANGELINE ROAD CHECK AMOUNT: $52.10
CARMEL IN 46032
CHECK NUMBER: 168945
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESC
1046 4239037 CCP &R -0003 52.10 CLUB ACTIVITY SUPPLIE
Domino's Pizza PURCHASE ORDER
841 South Rangeline
Carmel, IN 46032
Phone 317 846 -6100 Fax 317 -816 -5306
The following number must appear on all related Fumhes38
correspondence, shipping papers, and invoices:
Description
P.O. NUMBER: CCP &R -0003
P.O.O P or F
G.L 0 W
TO: SHIP TO: uu
Amy Baldauf Carry Out' U
Carmel Elementary School PUrchasW J Date
1411 E 116` Street Rio F, .IVED Appal
Carmel, IN 46032
317 -258 -8266 FEB 0 4 2009
BY:
P.O. DATE REQUISITIONER SHIPPED VIA F.O.B. POINT TERMS
01/30/2009 James Pick Up 30 Days
QTY UNIT DESCRIPTION UNIT PRICE TOTAL
8 Large Hand Tossed Cheese Pizzas $6.00 $48.00
8 Large Hand Tossed Pepperoni Pizzas $6.00 $48.00
4 Large Hand Tossed Sausage Pizzas $6.00 $24.00
2 Large hand Tossed Mushroom Pizzas $6.00 $12.00
1 Credit from PO# CCP &R -0002 $79.10 $79.10
SUBTOTAL $52.90
SALES TAX Exempt
SHIPPING HANDLING C \O
OTHER N \A
TOTAL $52.10
1. Please send two copies of your invoice.
2. Enter this order in accordance with the prices, terms, delivery
method, and specifications listed above.
3. Please notify us immediately if you are unable to ship as
specified.
4. Send all correspondence to:
James Shiflet GM
841 S. Rangeline Rd.
Carmel, In 46032
Phone 317 846 -6100 Fax 317 816 -5306
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Authorize 7 Date(
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.
Domino's Pizza Terms
841 S Rangeline Rd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/30/09 CCP &R -0003 Club supplies CE 52.10
Total 52.10
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Domino's Pizza Allowed 20
841 S Rangeline Rd
Carmel, IN 46032
In Sum of
52.10
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 CCP &R -0003 4239037 52.10 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
13 -Feb 2009
Signature
52.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund