213605 10/09/2012 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: $22.96
1108 SOLUTIONS CENTER
CHECK NUMBER: 213605
CHICAGO IL 60677-1001
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4341993 S1485120974 22 . 96 CATERING SERVICE
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PLEASE PAY FROM THIS
INVOICE
Pleow- emit to:
P a Johns International
D Dept -7 11 08
ept 7-171108
1108 SOLUTIONS CENTE
CHICAGO, IL 60677- 01
_____________________
Name: Mooun Center
Address: 1235 Central Park D, E west
Carpel
11 ^NE3
Invoice 9 1485-12-0974
.
'-- -- ----
-==���°_
Order N: 00/8 Phone / Delivery
Delivery 6a* , Brooke
______C20i2-09-2�3� _____
4�1b3 02:30 PM
PM
Out Time: 2:45 PM
--------------
1 <14" 14^ 11.00
+Chicago Cut
+1 Gar//c Cups
+1 Pepparoncini Popper
1 ^14- 14^ Original 12.25
+Chivago Cut
+Snusaga
+1 Garlic Cupa
+1 PopPeronoini Pepper `
1 "14> 14^ Original 12.25
+Chioago Cut
+Pepporoni -
+1 Garlic Cups
~1 Pepueroxcini Pauper
Delivery Fee 1.99
________
SuUtoza\ : 37.49
PLAO18: 4.25
PLR01U: 4.26
PLA8lU: 3.01
DiScounz: 11.53
Food Tau: 0.80
Tam: 0.00
Toi
9 La
=~~
----- » V
Total � -_--_-'_-- --
----
app' Y tai N s y
11 M
t0 9 ata i com ^.:
apaa°h�-
v
ACCOUNTS PAYABLE \ ,,j,-;HER
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
9/23/12 S1485120974 Party pizzas $ 22.96
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 $ 22.96
120_
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
s ;+ $ 22.96
k ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center ,
PO#or Board Members
Dept ept# INVOICE NO. ACCT#/TITLE AMOUNT
1095-2 S1485120974 4341993 $ 22.96 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
v � which charge is made were ordered and
received except
4-Oct 2012
Signature
$ 22.96 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund