210347 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 353453 Page 1 of 1
ONE CIVIC SQUARE FAZOLI'S CHECK AMOUNT: $183.92
CARMEL, INDIANA 46032 465 E CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 210347
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 162601122 183.92 GENERAL PROGRAM SUPPL
F az oll' s Catering I nvoice Invoice 162601122
Invoice Date: 5/31/2012
m Restaurant IN -1626
fast.fresh.italian.
Sold To: Delivery Address:
Customer Name: Richards, Jessica Company Name: Woodbrook School
Address: Address: 4311 E. 116th Street
City, State Zip: City, State Zip: Carmel, IN
Phone: (317) 258 -8266
Service Type: Delivery
Special Delivery Instructions: Delivery Date Time: 8/2/2012 3:30 PM
120 PPL Full Service: No
;PLEASE REMIT TO:
Fazoli's Restaruant #1626
465 E. Carmel Drive.
jCarmel, IN 46032
Qty Description Price Amount
2 Fettuccine Alfredo with Roasted Chicken $24.99 $49.98
2 Spaghetti with Marinara Sauce $17.99 $35.98
2 Spaghetti with Meat Sauce $18.99 $37.98
2 Fettuccine Alfredo $19.99 $39.98
1 Delivery Fee $20.00 $20.00
Subtotal $183.92
Tax Tax Exempt
Total $183.92
Payment Type: A/R Catering
Tax Exempt 0119683083 -001
P.O. 7 P�C%
Budget
Ap Date2/
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 1
Check payable to ;(P up
Name: I /s �r� t a�
Address: 5 E Cct nnt� to yc.
City, State, Zip CCU. r n t- TA L 4
Mail check to payee Return check to requester
Check Amount 1 7 L Date Required J 2
Check needed for
To be paid fro m
PO (if applicable) c) Q
Budget account GL 92:59039
Budget Line Description Goa I
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): C
Requested by (signature
lit`12
Approved by (signature of Division Manager
on this date r y
Form revised 7 -7 -08 Shared Forms Business Services Check Request Form Check Request (rev 7 -7 -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.
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
5/31/12 162601122 Supplies 183.92
Total 183.92
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
183.92
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 162601122 4239039 183.92 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
28 -Jun 2012
00 jymrnn�
Signature
183.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund