229118 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 359483 Page 1 of 1
ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: $605.00
�? CARMEL, INDIANA 46032 12483 N MERIDIAN ST
CARMEL IN 46032 CHECK NUMBER: 229118
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 12/20/13 605 . 00 GENERAL PROGRAM SUPPL
STAFF LuNcg Pr
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Moe's Southwest Grill
115 S SR46 Bypass Bloomington, IN 47408 (812) 336-6637
12483 N Meridian Street Carmel, IN 46032 (317) 848-6637
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Item(s): Quantity: ate: Extended Cost:
Taco Bar 5pecialli 60 $10.00 $600.00
Includes, Pico, Cheese, Lettuce
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Items uantity: ate: Extended Cost:
Guacamole 0 $1.00 $0.00
Sour Cream 0 $0.50 $0.00
Rice 0 $0.50 $0.00
Queso 0 $3.00 $0.00
Drinks 0 $3.00 $0.00
3 cookies for $1.00 0 $1.00 $0.00
SUB TOTAL: $600.00
Discount $0.00
Customer : Dawn Koepper TAX: $0.00
Date : 12/20/2013 Total: $600.00
Location : Carmel, IN Delivery : $5.00
Total w/delivery $605.00
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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.
Moe's Southwest Grill Terms
12483 N Meridian Street
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/20/13 12/20/13 Staff lunch PT 36443 $ 605.00
Total $ 605.00
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.
Moe's Southwest Grill Allowed 20
y1`2483N Merldlan Street
Carmel IN�46032
"makesure thls�malledto the„cgrrect In Sum of$
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address
$ 605.00 i
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ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#,orBoard Members
.Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1081-7 12/20/13 4239039 $ 605.00 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
6-Feb 2014
fi�hI
Signature
$ 605.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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