216826 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
0 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $165.43
CARMEL,INDIANA 46032 DEPT 771108
1108 SOLUTIONS CENTER CHECK NUMBER: 216826
CHICAGO IL 60677-1001
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4341993 23 . 06 S1485121023
1095 4341993 44 . 33 S1485131044
1095 4341993 23 . 36 S1485131045
1095 4341993 37 . 34 51485131046
1095 4341993 37 . 34 S1485131047
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, 1L 60677-1001
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/1/12 S1485121023 Party pizzas $ 23.06
1/5/13 S1485131044 Party pizzas $ 44.33
1/5/13 S1485131045 Party pizzas $ 23.36
1/12/13 S1485131047 Party pizzas $ 37.34
1/12/13 S1485131046 Party pizzas $ 37.34
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 $ 165.43
20_
m .raaas ads'
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-10 In Sum of$
$ 165.43
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. 4CCT#[TITLE AMOUNT Board Members
Dept#
1095-2 S1485121023 4341993 $ 23.06 1 hereby certify that the attached invoice(s), or
1095-2 S1485131044 4341993 $ 44.33 bill(s) is (are) true and correct and that the
1095-2 S1485131045 4341993 $ 23.36 materials or services itemized thereon for
1095-2 51485131047 4341993 $ 37.34 which charge is made were ordered and
1095-2 S1485131046 4341993 $ 37.34 received except
24-Jan 2013
Signature
$ 165.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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