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218186 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $319.73 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 218186 CHICAGO IL 60677-1001 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 125 . 82 1485131062 1081 4239039 53 . 93 1485131068 1095 4341993 23 . 36 1485131057 1095 4341993 16 . 37 1485131059 1096 4239039 100 . 25 1485131084 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 2/2/13 S1485131062 Supplies $ 125.82 2/2/13 _S1485131057 _ Party pizzas $ 23.36 2/2/13 S1485131059 Party pizzas $ 16.37 2/12/13 S1485131068 Pizza $ 53.93 3/2/13 S1485131084 Pizza for Mother-Son challenge $ 100.25 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 $ 319.73 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 319.73 ON ACCOUNT OF APPROPRIATION FOR 108 ESE / 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-10 S1485131062 4239039 $ 125.82 1 hereby certify that the attached invoice(s), or 1095-2 S1485131057 4341993 $ 23.36 bill(s) is (are)true and correct and that the 1095-2 S1485131059 4341993 $ 16.37 materials or services itemized thereon for 1081-3 S1485131068 4239039 $ 53.93 which charge is made were ordered and 1096-60 S1485131084 4239039 $ 100.25 received except 7-Ma.r 2013 Signature $ 319.73 Accounts Payable Coordinator Cost distribution ledger classification if I Title claim paid motor vehicle highway fund