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211899 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $797.68 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 211899 CHICAGO IL 60677-1001 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 22 . 96 51485120903 1095 4341993 29 . 95 S1485120911 1095 4341993 148 . 78 51485120913 1095 4341993 29 . 95 S1485120914 1095 4341993 22 . 96 S1485120915 1095 4341993 22 . 96 S1485120916 1095 4341993 22 . 96 S1485120917 1095 4341993 43 . 93 51485120918 1095 4341993 8 . 98 S1485120919 1095 4341993 36 . 94 S1485120922 1095 4341993 22 . 96 S1485120923 1095 4341993 50 . 92 S1485120924 1095 4341993 22 . 96 51485120925 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 2 of 2 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $797.68 1108 SOLUTIONS CENTER CHECK NUMBER: 211899 CHICAGO IL 60677-1001 CHECK DATE: 8114/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 15 . 97 S1485120926 1095 4341993 22 . 96 S1485120929 1095 4341993 15 . 97 S1485120930 1095 4341993 36 . 94 S1485120932 1095 4341993 15 . 97 S1485120933 1095 4341993 29 . 95 S1485120934 1095 4341993 22 . 96 S1485120935 1095 4341993 29 . 95 S1485120936 1095 4341993 43 . 93 S1485120937 1095 4341993 29 . 95 S1485120940 1096 4239039 15 . 97 51485120920 1096 4239039 29 . 95 S1485120927 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 7/28/12 S1485120932 Party pizza $ 36.94 7/28/12 S1485120933 Party pizza $ 15.97 7/28/12 S1485120935 Party,pizza $ 22.96 7/1/12 S1485120903 Party pizza $ 22.96 7/27/12 S1485120927 Pizza for TNO Program $ 29.95 7/29/12 S1485120934 Party pizza $ 29.95 8/4/12 S1485120936 Party pizza $ 29.95 8/4/12 S1485120937 Party pizza $ 43.93 8/5/12 S1485120940 Party pizza $ 29.95 TOTAL $ 262.56 with IC 5-11-10-1.6 . 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ SEE FIRST PAGE ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-2 S1485120932 4341993 $ 36.94 1 hereby certify that the attached invoice(s), or 1095-2 S1485120933 4341993 $ 15.97 bill(s) is (are)true and correct and that the 1095-2 S1485120935 4341993 $ 22.96 materials or services itemized thereon for 1095-2 S1485120903 4341993 $ 22.96 which charge is made were ordered and 1096-70 S1485120927 4239039 $ 29.95 received except 1095-2 51485120934 4341993 $ 29.95 1095-2 S1485120936 4341993 $ 29.95 1095-2 S1485120937 4341993 $ 43.93 1095-2 S1485120940 4341993 $ 29.95 9-Aug 2012 Signature $ 262.56 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 7/11/12 S1485120911 Party pizzas $ 29.95 7/13/12 S1485120913 Party pizzas $ 148.78 7/14/12 S1485120914 Party pizzas - $ 29..95- 7/14/12 S1485120915 Party pizzas $ 22.96 7/14/12 S1485120916 Party pizzas $ 22.96 7/14/12 S1485120917 Party pizzas $ 22.96 7/15/12 S1485120918 Party pizzas $ 43.93 7/14/12 S1485120919 Party pizzas $ 8.98 7/20/12 S1485120920 Food for program $ 15.97 7/21/12 S1485120922 Party pizzas $ 36.94 7/22/12 S1485120923 Party pizzas $ 22.96 7/22/12 S1485120924 Party pizzas $ 50.92 7/21/12 S1485120925 Party pizzas $ 22.96 7/26/12 S1485120926 Party pizzas $ 15.97 7/27/12 S1485120929 Party pizzas $ 22.96 7/28/12 S1485120930 Party pizzas $ 15.97 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 $ 535.12 , 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 797.68 TUTl�L Ow - ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. 4,CCT#/TITL AMOUNT Board Members Dept# 1095-2 S1485120911 4341993 $ 29.95 1 hereby certify that the attached invoice(s), or 1095-2 S1485120913 4341993 $ 148.78 bill(s) is(are)true and correct and that the 1095-2 S1485120914 4341993 $ 29.95 materials or services itemized thereon for 1095-2 S1485120915 4341993 $ 22.96 which charge is made were ordered and 1095-2 S1485120916 4341993 $ 22.96 received except 1095-2 S1485120917 4341993 $ 22.96 1095-2 S1485120918 4341993 $ 43.93 1095-2 S1485120919 4341993 $ 8.98 1096-70 S148512092o 4239039 $ 15.97 1095-2 S1485120922 4341993 $ 36.94 1095-2 S1485120923 4341993 $ 22.96 1095-2 S1485120924 4341993 $ 50.92 1095-2 S1485120925 4341993 $ 22.96 1095-2 S1485120926 4341993 $ 15.97 9-Aug 2012 1095-2 S1485120929 4341993 $ 22.96 �� 1095-2 S1485120930 4341993 $ 15.97 Total from page#2 $ 262.56 Signature $ 797.68 Accounts Payable Coordinator Cost distribution dger classification if Title claim paid motor vehicle highway fund