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214729 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 361335 Page 1 of 1 ONE CIVIC SQUARE LITTLE CEASARS CHECK AMOUNT: $266.77 CARMEL, INDIANA 46032 11530 WESTFIELD BLVD CARMEL IN 46032 CHECK NUMBER: 214729 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 36 . 97 121848 1081 4239039 229 . 80 21907 r ML------IM---�_ .�'•'R--. Imo!=+li • M,�M Mill OO©m0 = D DO©m0 = D D®©m0 = D m MA, ELI WIN m� ' . - EN ■ - � • - mmmom■■ ■MMMMMM— ! !� .!on •�L 012FLOOM/i ■IM�- ■■ - ©m0 : -_M a ■m[7• D OD DO©m0 = O l�®� iiL�i� Phone# No Ow Signature: 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. 361335 Little Caesars Terms 11530 Westfield Blvd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/24112 121848 Program supplies $ 36.97 11/2/12 21907. Supplies —- $ 229.80 Total $ 266.77 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 20_ Clerk-Treasurer Voucher No. Warrant No. 361335 Little Caesars Allowed 20 11530 Westfield Blvd Carmel, IN 46032 In Sum of$ $ 266.77 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-9 121848 4239039 $ 36.97 1 hereby certify that the attached invoice(s), or 1081-9 21907 4239039 $ 229.80 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 15-Nov 2012 4 1 -eel� _ Signature $ 266.77 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund