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217300 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $231.03 1108 SOLUTIONS CENTER CHECK NUMBER: 217300 CHICAGO IL 60677-1001 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 S1485131048 79. 28 GENERAL PROGRAM SUPPL 1096 4239039 S1485131049 16 . 37 GENERAL PROGRAM SUPPL 1095 4341993 S1485131050 16 . 37 CATERING SERVICE 1081 4239039 S1485131051 34 . 95 GENERAL PROGRAM SUPPL 1095 4341993 S1485131052 23 . 36 CATERING SERVICE 1095 4341993 S1485131053 37 . 34 CATERING SERVICE 1096 4239039 S1485131054 23 . 36 GENERAL PROGRAM SUPPL 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. Terms 360623 Papa Johns International Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 Invoice Invoice Description PO# Amount Date Number (or note attached invoices) or bill(s)) $ 79.28 1118113 S1485131048 Winter blast lock in dinner $ 16.37 1119113 S1485131050 Party pizzas $ 23.36 1/25/13 S1485131054 Pizza TNO program $ 23.36 1/27/13 S1485131052 Party pizzas $ 37.34 1/27/13 S1485131053 Party pizzas $ 34.95 1/25/13 S1485131051 Supplies TM $ 16.37 1/18/13 S1485131049 Fantastic Friday pizza I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same TOTAL accordance $ 231.03 with IC 5-11-10-1.6 20 Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 231.03 ON ACCOUNT OF APPROPRIATION FOR _ 108 ESE/ 109 Monon Center _ PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept ept# 1096-60 S1485131048 4239039 $ 79.28 1 hereby certify that the attached invoice(s), or 1095-2 S148513105o 4341993 $ 16.37 bill(s) is (are)true and correct and that the 1096-70 S1485131054 4239039 $ 23.36 materials or services itemized thereon for 1095-2 S1485131052 4341993 $ 23.36 which charge is made were ordered and 1095-2 S1485131053 4341993 $ 37.34 received except 1081-9 S1485131051 4239039 $ 34.95 _ 1096-70 51485131049 4239039 $ 16.37 7-Feb 2013 Signature $ 231.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund