215542 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $341.07
CARMEL, INDIANA 46032 DEPT 771108
o�.o+ 1108 SOLUTIONS CENTER CHECK NUMBER: 215542
CHICAGO IL 60677-1001
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 71 . 99 51485121026
1081 4239039 141 . 89 S1485121034
1095 4341993 37 . 04 S1485121030
1095 4341993 30 . 05 S1485121031
1095 4341993 30 . 05 51485121032
1095 4341993 30 . 05 S1485121035
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property 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 771 108
1108 Solutions Center
Chicago, IL 60677-1001
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/7/12 S1485121026 Site celebration WB $ 71.99
1218/12 S1485121030 Party pizzas $ 37.04
12/6/12 S1485121031 Party pizzas $ 30.05
12/9/12 S1485121032 Party pizzas $ 30.05
12/7/12 S1485121034 Parents night out $ 141.89
12/9/12 S1485121-035 Party pizzas $ 30.05
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 $ 341.07
20
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 341.07
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/ 109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 S1485121026 4239039 $ 71.99 1 hereby certify that the attached invoice(s),or
1095-2 S148512103o 4341993 $ 37.04 bill(s)is (are)true and correct and that the
1095-2 S1485121031 4341993 $ 30.05 materials or services itemized thereon for
1095-2 S1485121032 4341993 $ 30.05 which charge is made were ordered and
1081-5 S1485121034 4239039 $ 141.89 received except
1095-2 S1485121035 4341993 $ 30.05
13-Dec 2012
Signature
$ 341.07 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I