226138 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367747 Page 1 of 1
ONE CIVIC SQUARE POPEYES CHECK AMOUNT: $199.00
CARMEL, INDIANA 46032 625 EAST CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 226138
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 11/12/13 199 . 00 GENERAL PROGRAM SUPPL
„i
NOV 5
625 East Carmel Drive
(317)815-4604
Invoice
100 Piece Party Pack-199.00
4 Gal Sides
50 Biscuits Included
Total
199.00
FOR
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' Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: 04November2013 NOV 5 2013
115 -
Check payable to:
Name: Popyes
Address: 625 East Carmel Drive
City, State, Zip Carmel, IN 46033
Mail check to payee x Return check to requestor
Check Amount: $ 199.00 Date Required: 26November2013
Check needed for: Food for Site Celebration
Supporting documentation or receipt(s) MUST be attached.
To be paid from:
Fund 1081-11 Budget Line# 4239039
Budget Line Description General Supplies
Requested by.(print): NikeeJ,a Pittman
Requested by(signature
Approved by(signature of Division Manager)=
on this date it It 4
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.
Popeyes Terms
625 East Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/12/13 11/12/13 ESE Food for Site Celebration $ 199.00
Total $ 199.00
1 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.
Popeyes Allowed 20
625 East Carmel Drive
Carmel, IN 46032
In Sum of$
$ 199.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-11 11/12/13 4239039 $ 199.00 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
14-Nov 2013
Signature
$ 199.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund