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213127 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $295.52 +� 1108 SOLUTIONS CENTER CHECK NUMBER: 213127 CHICAGO IL 60677-1001 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4341993 22 . 96 1485120964 1095 4341993 43 . 93 1485120965 1095 4341993 57 . 91 1485120966 1095 4341993 22 . 96 1485120967 1095 4341993 36 . 94 1485120969 1095 4341993 43 . 93 1485120970 1095 4341993 36 . 94 1485120971 1096 4239039 29 . 95 1485120962 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 8/31/12 S1485120962 Food Teen Night program $ 29.95 9/8/12 S1485120964 Party pizzas $ 22.96 9/8/12 S1485120965 Party pizzas $ 43.93 9/9/12 S1485120966 Party pizzas $ 57.91 918/12 S1485120967 Party pizzas $ 22.96 9/15/12 S1485120970 Party pizzas $ 43.93 9/15/12 S1485120969 Party pizzas $ 36.94 9/16/12 S1485120971 Party pizzas $ 36.94 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance TOTAL $ 295.52 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$ $ 295.52 ON ACCOUNT OF APPROPRIATION FOR _ 109 - Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1096-70 S1485120962 4239039 $ 29.95 i hereby certify that the attached invoice(s), or 1095-2 S1485120964 4341993 $ 22.96 bill(s) is (are)true and correct and that the 1095-2 S1485120965 4341993 $ 43.93 :materials or services itemized thereon for 1095-2 S1485120966 4341993 $ 57.91 'vvhich charge is made were ordered and 1095-2 S1485120967 4341993 $ 22.96 received except 1095-2 S148512097o 4341993 $ 43.93 1095-2 S1485120969 4341993 $ 36.94 1095-2 S1485120971 4341993 $ 36.94 20-Sep 2012 Signature $ 295.52 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund