217768 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
0 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $450.65
�a CARMEL, INDIANA 46032 DEPT 771108
1108 SOLUTIONS CENTER CHECK NUMBER: 217768
CHICAGO IL 60677-1001
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4341993 434 .28 CATERING SERVICE
1096 4239039 16 . 37 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.
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
2/1/13 S1485131055 Party pizzas $ 37.34
2/1113 S1485131056 Party pizzas $ 23.36
2/2/13 S1485131058. Party pizzas $ 23.36
2/3/13 S1485131060 Party pizzas $ 30.35
2/3/13 S1485131061 Party pizzas $ 16.37
2/8/13 S1485131063 Party pizzas $ 30.35
2/9/13 S1485131064 Party pizzas $ 16.37
2/9/13 S1485131065 Party pizzas $ 30.35
2/9/13 S1485131066 Party pizzas $ 30.35
2/10/13 S1485131067 Party pizzas $ 37.34
2/16/13 S1485131072 Party pizzas $ 23.36
2/17/13 S1485131073 Party pizzas $ 30.35
2/17/13 S1485131074 Party pizzas $ 30.35
2/15/13 S1485131069 Fantastic Friday pizza $ 16.37
2/16/13 S1485131070 Party pizzas $ 23.36
2/16/13 S1485131071 I Party pizzas $ 51.32
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 TOTAL $ 450.65
, 20_
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 450.65
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-2 S1485131055 4341993 $ 37,34 1 hereby certify that the attached invoice(s), or
1095-2 S1485131056 4341993 $ 23.36 bill(s) is (are)true and correct and that the
1095-2 S1485131058 4341993 $ 23.36 materials or services itemized thereon for
1095-2 S1485131060 4341993 $ 30.35 which charge is made were ordered and
1095-2 S1485131061 4341993 $ 16.37 received except
1095-2 S1485131063 4341993 $ 30.35
1095-2 S1485131064 4341993 $ 16.37
1095-2 S1485131065 4341993 $ 30.35
1095-2 S1485131066 4341993 $ 30.35
1095-2 S1485131067 4341993 $ 3734
1095-2 S1485131072 4341993 $ 23.36
1095-2 51485131073 4341993 $ 30.35
1095-2 51485131074 4341993 $ 30.35
1096-70 51485131069 4239039 $ 16.37 21-Feb 2013
1095-2 S1485131070 4341993 $ 23.36
1095-2 S1485131071 4341993 $ 51.32
Signature
$ 450.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund