HomeMy WebLinkAbout215636 12/18/2012 u,*f CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1
ONE CIVIC SQUARE KEITH FREER
CARMEL, INDIANA 46032 1413 N.FAIRVIEW STREET CHECK AMOUNT: $143.28
ALEXANDRIA IN 46001
CHECK NUMBER: 215636
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 143 . 28 OTHER EXPENSES
Thank You For:Choosing
Papa Johns Pizza
Restaurant #1485
TAX EXEMPT
Tax ID #: 01086545080008
Name: Carmel Fire Dept.
Address: 2 Civic Sq
Carmel IN 46032
Cust#: 71563
Phone#: (317)571-2600 Sec:.p/u
Delivery Remarks:
Order #: 0009
Phone/Carryout
Out Time: 11:25:48 am ElapsedTime: 12:40
3 <16> 16" Original 51.00
+Work
+3 Garlic Cups
+3 Pepperoncini Pepper
3 <16> 16" Original 43.50
+Pepperoni
+3 Garlic Cups
+3 Pepperoncini Pepper
3 <16> 16" Original 43.50
+Sausage
±3 Garlic Cups
-._ +3 Pepperoncini Pepper
1 <16> 16" Original 17.00
+Vegi
+1 Garlic Cups
+1 Pepperoncini Pepper
2 <16> 16" Original 26.00
+2 Garlic Cups.
+2 Pepperoncini Pepper
'� 3 Cinnapie 12.00
3 12in Cheesestix 18.00
+3 Garlic Cups
+3 Pizza Cups
2 21-tr Diet Pepsi 5.56
2 21-tr Or Pepper 5.56
3 21-tr Mountain Dew 8.34
3 2Ltr Pepsi 8.34
-------------
'y Subtotal: 238.80
Discount: 95.52
' Tax: Exempt
Total: 143.28
Any delivery fee charged is not a tip
for the driver. Please reward your
Driver with a tip for outstanding
service.
Text PJ1485 to 47272 (4PAPA)
to get local text offers!
Msg & Data rates may apply.
Visit www.papajohns.com for details.
336476 12/14/2012 10:45am
----------------------------------------
U Papa Johns
I Restaurant #1485
10598 North College Avenue
Indianapolis, IN 46280
(317) 846-7272
336476 12/14/2012 10:45am
InStore Order
Name: Carmel Fire, Deft:-a•.v
Restaurant Order #: 0005
Account #: xxxxxxxxxxxxok
Authorization #: 01409B
Reference #: 194207
Batch ID: 0
Order Amount: 143.28
Tax: 0.00
Total Amount: 143.28
ovalirlEOP 143.28 ,
Tip:
Total:
Addtl Tender Amt: 0.00
Any delivery fee charged is not a tip .
for the driver. Please reward your
Driver with a tip for outstanding
service.
Customer Signature
X
Customer Copy
I agree to pay total amount according to
the card issuer agreement.
Thank You For Choosing
Papa Johns
Text PJ1485 to 47272 (4PAPA)
to get local text offers!
Msg & Data rates may apply.
Visit www.papajohns.com for details.
-----------------------------------------
VOUCHER NO. WARRANT NO.
ALLOWED 20
Keith Freer
IN SUM OF $
$143.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 +I 1 120-851.00 I $143.28 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
DEC i 7 209
rw
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
prescribed by State Board of Accounts City Form No 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$143.28
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