219441 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
ONE CIVIC SQUARE PAPA JOHN'S PIZZA
CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $253.19
1108 SOLUTIONS CENTER CHECK NUMBER: 219441
CHICAGO IL 60677-1001
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4341993 S1485131076 16 .37 CATERING SERVICE
1091 4359000 S1485131101 86 . 23 SPECIAL PROJECTS
1095 4341993 S1485131102 20 .39 CATERING SERVICE
1095 4341993 51485131103 20 .39 CATERING SERVICE
1095 4341993 S1485131104 30 . 35 CATERING SERVICE
1095 4341993 S1485131105 16 . 37 CATERING SERVICE
1095 4341993 S1485131106 30 . 35 CATERING SERVICE
1095 4341993 S1485131107 23 . 36 CATERING SERVICE
1095 4341993 S1485131108 9. 38 CATERING SERVICE
I
Total:
Tip -..._ .
PLEASE PAY FROM THIS Toi:al:
INVOICE __-_._..._.::
Please .remit to:
-----------•--•---
Any delivery fee chargod is not a tip for
Papa Johns International ? the driver. Please ra'ward your- Driver with
Dept ,711108 a tip for outstandrn�
1108 SOLUTIONS CENTER 1 ser-••.vice.
CHICAGO, IL b0677-1001
Name: Monon Cetet
Adogress: 1195 Central Park Dr 4ti --- --- - --- --.-_-..--
Carmel IN X16032 Cus mer-sir,ur e i
Pho4lc#: (31.7) $48-7275 Sector:,:-"' "NE3 i
Invoice #: S1485-13-'1076 r
Tax ID #: 0119683083 -------
PO #: ONG-RASMUM Customer Title
Order #: 0033 ' Phone - Delivery 2% CHARGE: IF NOT
belivery Remarks: donya ong ; PAID WITHIN 30 DAYS
______._--__-..-..-�-_.._-..__--____-_____.._. WXWK•KrXXXWXWXWWWWXXXYCWWXWWXx WW XWWWxX XXXX
336476 201302-22
e;
05:00 PM WWWWXXWXWWWXXWWWWWXX I[XXWXXXXYW XWWXWWWWKW
Out lime: 05:13 PM__ Text PJ1485 to 47272 (4PAPA)
- -
1 K14- 14" Original 11,00 to get local ?ext offers!
+Chicago Cut Msg $ Data ratos may apply.
+1 Garlic Cups
Visit www.Papa.johns.com for details,
+1 Pepperoncinl Pepper 12.25
1 1� 14" Original
+Chrca9o, Cut — --- - —- --- -- - - - -
+Popper'oni
+1 Gar iC:,,Cupe
+1 Pepper:onci ni ,Pepper... 2.39
Delivery F?e _
Suhtocal : 25.64
9016A:
9 A: 5-26-
Discount., 9.27
i
Food-Tax`s
r
r
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
2122/13 S1485131076 Party pizzas $ 16.37
4/1/13 S1485131101 Pizza for Kick-off $ 86.23
4/6/13 S1485131102 Party pizzas $ 20.39
4/7/13 S1485131103 Party pizzas $ 20.39
4/13/13 S1485131104 Party pizzas $ 30.35
4/13/13 S1485131106 Party pizzas $ 30.35
4/13/13 S1485131107 Party pizzas $ 23.36
4/13/13 S1485131108 Party pizzas $ 9.38
4/13/13 S1485131105 Party pizzas $ 16.37
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 $ 253.19
, 20_
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 253.19
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
Po#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1095-2 S1485131076 4341993 $ 16.37 1 hereby certify that the attached invoice(s), or
1091 S1485131101 4359000 $ 86.23 bill(s) is (are)true and correct and that the
1095-2 S1485131102 4341993 $ 20.39 materials or services itemized thereon for
1095-2 S1485131103 4341993 $ 20.39 which charge is made were ordered and
1095-2 S1485131104 4341993 $ 30.35 received except
1095-2 S1485131106 4341993 $ 30.35
1095-2 S1485131107 4341993 $ 23.36
1095-2 S1485131108 4341993 $ 9.38
1095-2 S1485131105 4341993 $ 16.37
18-Apr 2013
Signature
=253.19 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund