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209819 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $681.12 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 209819 CHICAGO IL 60677 -1001 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 S1485120828 22.96 CATERING SERVICE 1096 4239039 S1485120844 36.94 GENERAL PROGRAM SUPPL 1095 4341993 S1485120855 25.99 CATERING SERVICE 1095 4341993 S1485120856 25.99 CATERING SERVICE 1095 4341993 S1485120857 37.99 CATERING SERVICE 1095 4341993 S1485120858 25.99 CATERING SERVICE 1096 4239039 S1485120661 36.94 GENERAL PROGRAM SUPPL 1094 4239039 51485120862 211.69 GENERAL PROGRAM SUPPL 1095 4341993 S1485120863 36.94 CATERING SERVICE 1095 4341993 51485120864 22.96 CATERING SERVICE 1095 4341993 S148512086S 29.95 CATERING SERVICE 1095 4341993 S1485120866 29.95 CATERING SERVICE 1081 4239039 S1485120867 48.97 GENERAL PROGRAM SUPPL CITY OF CARMEL, INDIANA VENDOR: 360623 Page 2 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $681.12 1108 SOLUTIONS CENTER CHECK NUMBER: 209819 CHICAGO IL 60677 -1001 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 S1485120868 43.93 GENERAL PROGRAM SUPPL 1095 4341993 S1485120871 43.93 CATERING SERVICE 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(s) or bill(s)) PO Amount 3/23/12 S1485120828 Party pizzas 22.96 4/20/12 S1485120844 Food for Fantastic Friday 36.94 5/11/12 S1485120855 Party.pizzas 25.99 5/11/12 S1485120856 Party pizzas 25.99 5/12/12 S1485120857 Party pizzas 37.99 5/12/12 S1485120858 Party pizzas 25.99 5/18/12 S1485120861 Food for FF program 36.94 5/19/12 S1485120862 Inservice lunch 211.69 5/19/12 S1485120863 Party pizzas 36.94 5/19/12 S1485120864 Party pizzas 22.96 5/19/12 S1485120865 Party pizzas 29.95 5/20/12 S1485120866 Party pizzas 29.95 5/23/12 S1485120867 Supplies 48.97 5/25/12 S1485120868 Pizza for Teen night 43.93 5/27/12 S1485120871 Party pizzas 43.93 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 TOTAL 681.12 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677 -1001 In Sum of 681.12 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -2 S1485120828 4341993 22.96 1 hereby certify that the attached invoice(s), or 1096 -70 S1485120844 4239039 36.94 bill(s) is (are) true and correct and that the 1095 -2 S1485120855 4341993 25.99 materials or services itemized thereon for 1095 -2 S1485120856 4341993 25.99 which charge is made were ordered and 1095 S1485120857 4341993 37.99 received except 1095 -2 S1485120858 4341993 25.99 1096 -70 S1485120861 4239039 36.94 1094 S1485120862 4239039 211.69 1095 -2 S1485120863 4341993 36.94 1095 -2 S1485120864 4341993 22.96 1095 -2 S1485120865 4341993 29.95 1095 -2 S1485120866 4341993 29.95 1081 -6 S1485120867 4239039 48.97 14 -Jun 2012 1096 -70 S1485120868 4239039 43.93 1095 -2 S1485120871 4341993 43.93 P� Signature 681.12 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund