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214032 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $351.44 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 214032 CHICAGO IL 60677-1001 CHECK DATE: 10123/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4239039 71 . 89 S1485120948 1095 4341993 22 . 96 S1485120977 1095 4341993 57 . 91 51485120980 1095 4341993 43 . 93 51485120982 1095 4341993 64 . 90 S1485120983 1095 4341993 22 . 96 S1485120985 1095 4341993 36 . 94 51485120986 1096 4239039 29 . 95 S1485120976 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL ?S V.� 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. x> Payee Purchase Order No. 360623 Papa Johns International Terms Dept 771108 1108 Solutions Center Chicago, 1L 60677-.;1001 invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/28/12 S1485120977 Party pizzas $ 22.96 8/13/12 S1485120948 . Staff training $ 71.89 10/6/11 51485120982 Pai7y pizzas $ 43:93 9/28/12 S1485120976 Pizza TNO program $ 29.95 9/30/12 S1485120980 Party pizzas $ 57.91 10/7/12 S1485120983 Party pizzas $ 64.90 10/13/12 S1485120985 Party pizzas $ 22.96 10/14/12 S1485120986 Party pizzas $ 36.94 M1� N k 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 t TOTAL $ 351.44 20 s Voucher No. i Warrant No. 3 360623 Papa Johns International Allowed 20 Dept 771 108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ `9 $ 351.44 ; ON ACCOUNT OF APPROPRIATION FOR 169- Monon Center k� �s P `� Board Members Dept tt# INVOICE NO. A.CCT#/TITLE AMOUNT Z 1095-2 S1485120977 4341993 $ 22.96 1 hereby certify that the attached invoice(s), or 1094 S1485120948 4239039 $ 71.89 bill(s) is(are)true and correct and that the 1095-2 S1485120982 4341993 $ 43.93 materials or services itemized thereon for 1096-70 S1485120976 4239039 $ 29.95 which charge is made were ordered and 1095-2 S1485120980 4341993 $ 57.91 received except 1095-2 S1485120983 4341993 $ 64.90 1095-2 S1485120985 4341993 $ 22.96 1095-2 S1485120986 4341993 $ 36.94 M� 18-Oct 2012 R Signature 351.44 Accounts Payable Coordinator Cost distribution ledger classification if Title I claim pair motor vehicle highway fund tm i' M�