222077 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367276 Page 1 of 1
ONE CIVIC SQUARE MACKENZIE RIVER PIZZA GRILL&PUB
CARMEL, INDIANA 46032 11596 WESTFIELD BLVD CHECK AMOUNT: $266.09
CARMEL IN 46032-3558 CHECK NUMBER: 222077
CHECK DATE: 7117/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 1 266 . 09 FIELD TRIPS
Mackenzie River Pizza Grill & Pub Carmel Invoice
11596 Westfield Blvd
Date Invoice#
Carmel, IN 46032-3558
6/12/2013 1
Bill To Purchase
Description &ke lcl 46
Cannel Clay Parks& Recreation P.O.# P or(�)
Orchard Park Elementary n
10401 Orchard Park Dr South G.L.g# c ���a- — "l —� 3 0 v
Indianapolis, IN 46280 B t
Li DC Ae
Purchaser �c
Approval _Date Zr�
P.O. No. Terms Project
Quantity Description Rate Amount
41 Camp-Make pizzas 5.50/ca 5.50 225.50T
18%tip 40.59 40.59T
Out-ol'-state sale,exempt from sales tax 0.00% 0.00
E0003� l
Total 5266.09
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.
Mackenzie River Pizza Grill & Pub Terms
11596 Westfield Blvd
Carmel, IN 46032-3558
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
$ 266.09
6/12/13 1 Field trip 6/6/13
I I
Total $ 266.09
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Mackenzie River Pizza Grill & Pub Allowed 20
11596 Westfield Blvd
Carmel, IN 46032-3558
In Sum of$
$ 266.09
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1082-9 1 4343007 $ 266.09 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
10-Jul 2013
Signature
$ 266.09 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund