216151 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
2. ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $643.73
CARMEL, INDIANA 46032 DEPT 771108
1108 SOLUTIONS CENTER CHECK NUMBER: 216151
CHICAGO IL 60677-1001
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 PARKS 211 . 79 S1485121036
1081 4239039 PARKS 139 . 80 S1485121037
1081 4239039 PARKS 125 . 82 51485121039
1095 4341993 PARKS 23 . 06 S1485120998
1095 4341993 PARKS 30 . 05 51485121040
1095 4341993 PARKS 30 . 05 S1485121041
1095 4341993 PARKS 30 . 05 51485121042
1095 4341993 PARKS 30 . 05 S1485121043
1096 4239039 PARKS 23 . 06 S1485121038
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.
360623 Papa Johns International Terms
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/3/12 S1485120998 Party pizzas $ 23.06
12/14/12 . S1485121036. Parents night out $ 211.79
12/14/12 S1485121037 Program supplies CT $ 139.80
12/14/12 S1485121038 Pizza for Fantastic Friday $ 23.06
12/14/12 S1485121039 Supplies WC $ 125.82
12/16/12 S1485121040 Party pizzas $ 30.05
12/20/12 S1485121041 Party pizzas $ 30.05
12/22/12 S1485121042 Party pizzas $ 30.05
12/29/12 S1485121043 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 $ 643.73
120_
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 643.73
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/ 109 MCC
PO#or Board Members
Dept ept# INVOICE NO. ACCT#[TITLE AMOUNT
I
1095-2 S1485120998 4341993 $ 23.06 1 hereby certify that the attached invoice(s), or
1081-4 S1485121036 4239039 $ 211.79 bill(s) is (are)true and correct and that the
1081-2 S1485121037 4239039 $ 139.80 materials or services itemized thereon for
1096-70 S1485121038 4239039 $ 23.06 which charge is made were ordered and
1081-10 S1485121039 4239039 $ 125.82 received except
1095-2 51485121040 4341993 $ 30.05
1095-2 S1485121041 4341993 $ 30.05
1095-2 S1485121042 4341993 $ 30.05
1095-2 S1485121043 4341993 $ 30.05
3-Jan 2013
i
i
Signature
$ 643.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund