221182 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 360623 Page 1 of 1
` ONE CIVIC SQUARE PAPA JOHN'S PIZZA
CARMEL, INDIANA 46032 DEPT 771108 CHECK AMOUNT: $247.40
1108 SOLUTIONS CENTER CHECK NUMBER: 221182
CHICAGO IL 60677-1001
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4341993 58 . 31 S1485131134
1095 4341993 2 . 39 S1485131137
1095 4341993 23 . 36 S1485131138
1095 4341993 16 . 37 S1485131141
1095 4341993 51 . 32 51485131143
1095 4341993 72 . 29 S1485131144
1096 4239039 23 . 36 S1485131140
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 invoices) or bill(s)) PO# Amount
5/25/13 S1485131134 Party pizzas $ 58.31
5/25113 S1485131135 Party pizzas $ 37.34
5/25/13 S1485131137 Party pizzas _ $ 2.39
5/30/13 S1485131138 Party pizzas $ 23.36
5/31/13 S1485131140 Pizza TNO program $ 23.36
6/1/13 S1485131,141 Party pizzas $ 16.37
6/2/13 S1485131143 Party pizzas $ 51.32
6/2/13 S1485131144 Party pizzas $ 72 29
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance
TOTAL $ 284.74
with IC 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
360623 Papa Johns International Allowed 20
Dept 771108
1108 Solutions Center
Chicago, IL 60677-1001 In Sum of$
$ 284.74
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-2 S148513113 4341993 $ 58.31 1 hereby certify that the attached invoice(s). or
1095-2 S148513113 4341993 $ 37.3 . Lill(s) is (are)true and correct and that the
1095-2 S148513113 4341993 $ 2.39 rnaterials or services itemized thereon for
1095-2 S148513113 4341993 $ 23.36 which charge is made were ordered and
1096-70 S148513114 4239039 $ 23.36, received except
1095-2 51485131141 4341993 $ 16.37 _
1095-2 IS1485131143 4341993 $ 51.32 , _
1095-2 5148513114 4341993 $ 72.29
13-Jun 2013
Signature
$ 284.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund