215626 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 353453 Page 1 of 1
ONE CIVIC SQUARE FAZOLI'S
` CARMEL, INDIANA 46032 465 E CARMEL DRIVE CHECK AMOUNT: $461.78
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?� CARMEL IN 46032 CHECK NUMBER: 215626
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 162601353 461 . 78 GENERAL PROGRAM SUPPL
Fazoll's Catering Invoice �' � � D
NOW,,
Invoice#: 162601353
® DEC 2012 Invoice Date: 12/7/2012
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Pay to: Fazoli's Restaurant#: IN-1626
465 East Carmel Drive BY:
—
fast.fresh.italian. --_-
Carmel, IN 46032
(317)573-9814
Sold To: Delivery Address:
Customer Name: Holder,Jennifer Company Name: Orchard Park Elementary School
Address: Address: 10404 Orchard Park Dr.South
City,State Zip: City,State Zip: Indianapolis, IN
Phone: (317)679-9867
Service Type: Delivery
,Special Delivery Instructions: Delivery Date&Time: 1217/2012 6:30 PM
PLEASE REMIT TO: Full Service: No
Fazoli's Restaurant#1626
;465 E Carmel Drive
'Carmel,IN 46032
Qty Description Price Amount
6 Spaghetti with Marinara Sauce $18.99 $113.94
8 Spaghetti with Meat Sauce $19.99 $159.92
8 Fettuccine Alfredo $20.99 $167.92
1 Delivery Fee $20.001 $20.00
Subtotal $461.78
Tax Tax Exempt
Total $461.78
Payment Type: Credit Card
Tax Exempt#: Yes
Purchase
Description
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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.
353453 Fazolis Restaurant# 1626 Terms
465 East Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/7/12 162601353 Supplies 29176 $ 461.78
Total Is 461.78
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
120
Clerk-Treasurer
Voucher No. Warrant No.
353453 Fazolis Restaurant# 1626 Allowed 20
465 East Carmel Drive
Carmel, IN 46032
In Sum of$
$ 461.78
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1081-6 162601353 4239039 $ 461.78 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
which charge is made were ordered and
received except
13-Dec 2012
Signature
$ 461.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund