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212723 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 0 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $237.61 1108 SOLUTIONS CENTER CHECK NUMBER: 212723 CHICAGO IL 60677-1001 CHECK DATE: 9/1212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 85 . 87 51485120952 1095 4341993 43 . 93 51485120953 1095 4341993 8 . 98 51485120954 1095 4341993 29 . 95 51485120957 1095 4341993 29 . 95 51485120958 1095 4341993 22 . 96 S1485120959 1096 4239039 15 . 97 S1485120960 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 8/18/12 S1485120952 Party pizzas $ 85.87 8/18112 S1485120954 Party pizzas $ 8.98 8/18/12 51485120953 Party pizzas $ 43.93 8/26/12 S1485120957 Party pizzas $ 29.95 8/26/12 S1485120958 Party pizzas $ 29.95 8/26/12 S1485120959 Party pizzas $ 22.96 8/24/12 S1485120960 Food for program $ 15.97 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 TOTAL $ 237.61 , 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 237.61 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center 1 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-2 S1485120952 4341993 $ 85.87 1 hereby certify that the attached invoice(s), or 1095-2 S1485120954 4341993 $ 8.98 bill(s) is (are)true and correct and that the 1095-2 S1485120953 4341993 $ 43.93 materials or services itemized thereon for 1095-2 S1485120957 4341993 $ 29.95 which charge is made were ordered and 1095-2 51485120958 4341993 $ 29.95 received except 1095-2 S1485120959 4341993 $ 22.96 1096-70' S148512096o 4239039 $ 15.97 6-Sep 2012 Signature $ 237.61 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund