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218581 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1 0 ONE CIVIC SQUARE PAPA JOHN'S PIZZA CHECK AMOUNT: $366.36 CARMEL, INDIANA 46032 DEPT 771108 1108 SOLUTIONS CENTER CHECK NUMBER: 218581 CHICAGO IL 60677-1001 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239039 30 .34 1485131091 1095 4239039 30 . 35 1485131092 1095 4341993 23 .36 1485131077 1095 4341993 30 . 35 1485131078 1095 4341993 72 .29 1485131079 1095 4341993 30 .35 1485131080 1095 4341993 23 .36 1485131081 1095 4341993 44 .33 1485131085 1095 4341993 58 .27 1485131087 1096 4239039 23 . 36 1485131083 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 3/1/13 S1485131083 Pizza for Lock in $ 23.36 2/23/13 S1485131077 Party pizzas $ 23.36 2123/13 S1485131078 Party pizzas $ 30.35 2/23/13 S1485131079 Party pizzas $ 72.29 2127/13 S1485131080 Party pizzas $ 30.35 3/3/13 S1485131085 Party pizzas $ 44.33 3/1/13 S1485131081 Party pizzas $ 23.36 3/16/13 S1485131087 Party pizzas $ 58.27 3/16/13 S1485131091 Pizza for concessions $ 30.34 3/16/13 S1485131092 Pizza for concessions $ 30.35 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 $ 366.36 20_ Voucher No. Warrant No. 360623 Papa Johns International Allowed 20 Dept 771108 1108 Solutions Center Chicago, IL 60677-1001 In Sum of$ $ 366.36 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members Dept# 1096-70 S1485131083 4239039 $ 23.36 1 hereby certify that the attached invoice(s), or 1095-2 S1485131077 4341993 $ 23.36 bill(s) is (are)true and correct and that the 1095-2 S1485131078 4341993 $ 30.35 materials or services itemized thereon for 1095-2 S1485131079 4341993 $ 72.29 which charge is made were ordered and 1095-2 S148513108o 4341993 $ 30.35 received except 1095-2 S1485131085 4341993 $ 44.33 1095-2 S1485131081 4341993 $ 23.36 1095-2 S1485131087 4341993 $ 58.27 1095-1 S1485131091 4239039 $ 30.34 1095-1 S1485131092 4239039 $ 30.35 21-Mar 2013 Signature $ 366.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 9