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207993 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $418.33 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 207993 CHICAGO IL 60677 -1001 CHECK DATE: 4/1012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 92.86 S1485120819 1095 4341993 29.95 S1485120820 1095 4341993 38.93 S1485120824 1095 4341993 36.94 S1485120825 1095 4341993 15.97 51485120826 1095 4341993 85.87 S1485120827 1095 4341993 43.93 S1485120829 1096 4239039 36.94 S1485120802 1096 4239039 36.94 S1485120831 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 Amount or note attached invoice(s) or bill(s)) PO Date Number 29.95 3/18/12 S1485120820 Party pizzas 92.86 3118112 S1485120819 Party pizzas 15.97 3/24/12 S1485120823 Party pizzas 22.96 3/24/12 S1485120824 Party pizzas 36.94 3/24/12 S1485120825 Party pizzas 15.97 3/24/12 S1485120826 Party pizzas 85.87 3/24/12 S1485120827 Party pizzas 43.93 3/25/12 S1485120829 Party pizzas 36.94 3/23/12 S1485120831 Pizza for teen night 36.94 2/24/12 S1485120802 Pizza for teen night TOTAL 418.33 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 �n Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 In Sum of 418.33 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -2 S148512082o 4341993 29.95 1 hereby certify that the attached invoice(s), or 1095 -2 S1485120819 4341993 92.86 bill(s) is (are) true and correct and that the 1095 -2 S1485120823 4341993 15.97 materials or services itemized thereon for 1095 -2 S1485120824 4341993 22.96 which charge is made were ordered and 1095 -2 S1485120825 4341993 36.94 received except 1095 -2 S1485120826 4341993 15.97 1095 -2 S1485120827 4341993 85.87 1095 -2 S1485120829 4341993 43.93 1096 -70 S1485120831 4239039 36.94 1096 -70 S1485120802 4239039 36.94 5 -Apr 2012 Signature 418.33 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund