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210990 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA �4?a CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $457.50 o��0 1108 SOLUTIONS CENTER CHECK NUMBER: 210990 CHICAGO IL 60677-1001 CHECK DATE: 7117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 15 . 97 S1485120872 1095 4341993 36 . 94 S1485120874 1095 4341993 36 . 94 51485120876 1095 4341993 22 . 96 S1485120888 1095 4341993 15 . 97 S1485120889 1095 4341993 24 .21 S1485120890 1095 4341993 50 . 92 51485120891 1095 4341993 43 . 93 S1485120893 1095 4341993 22 . 96 S1485120896 1095 4341993 29 . 95 S1485120898 1095 4341993 29 . 95 S1485120899 1095 4341993 29 . 95 S1485120900 1095 4341993 29 . 95 S1485120901 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 2 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $457.50 o� ?' 1108 SOLUTIONS CENTER CHECK NUMBER: 210990 CHICAGO IL 60677-1001 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 22 . 96 51485120902 1095 4341993 29 . 95 S1485120904 1095 4341993 13 . 99 S1485120905 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 6/3/12 S1485120874✓ Party pizzas $ 36.94 6/2/12 S1485120872✓ Party pizzas $ 15.97 6/9/12 S1485120876 ✓ Party pizzas $ 36.94 6/19/12 S1485120888✓ Party pizzas $ 22 96 6/22/12 S1485120896V Party pizzas $ 22.96 6/23/12 S1485120889✓ Party pizzas $ 15.97 6/23/12 S14851208901/ Party pizzas $ 24.21 6/23/12 S1485120891 ✓ Party pizzas $ 50.92 6/24112 S1485120893✓ Party pizzas $ 43.93 6/29/12 S1485120898 Party pizzas $ 29.95 6/29/12 S1485120899✓ Party pizzas $ 29.95 6/30/12 S1485120900✓ Party pizzas $ 29.95 6/30/12 Sl485120901,/ Party pizzas $ 29.95 7/1/12 S1485120902 v Party pizzas $ 22.96 7/1/12 S1485120904 Party pizzas $ 29.95 7/1/12 S1485120905 AParty pizzas $ 13.99 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 $ 457.50 , 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 457.50 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members Dept# 1095-2 S1485120874 4341993 $ 36.94 1 hereby certify that the attached invoice(s), or 1095-2 S1485120872 4341993 $ 15.97 bill(s) is (are)true and correct and that the 1095-2 S1485120876 4341993 $ 36.94 materials or services itemized thereon for 1095-2 S1485120888 4341993 $ 22.96 which charge is made were ordered and 1095-2 S1485120896 4341993 $ 22.96 received except 1095-2 S1485120889 4341993 $ 15.97 1095-2 S1485120890 4341993 $ 24.21 1095-2 S1485120891 4341993 $ 50.92 1095-2 S1485120893 4341993 $ 43.93 1095-2 S1485120898 4341993 $ 29.95 1095-2 S1485120899 4341993 $ 29.95 1095-2 51485120900 4341993 $ 29.95 1095-2 51485120901 4341993 $ 29.95 1095-2 S1485120902 4341993 $ 22.96 12-Jul 2012 1095-2 S1485120904 4341993 $ 29.95 7�r�� 1095-2 S1485120905 4341993 $ 13.99 _ Signature $ 457.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund