HomeMy WebLinkAbout237514 9 /23/2014 CITY OF CARMEL, INDIANA VENDOR: 366236
• ONE CIVIC SQUARE QDOBA#2037 CHECK AMOUNT: $*****"*135.00*
CARMEL, INDIANA 46032 CHECK NUMBER: 237514
CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 135.00 GENERAL PROGRAM SUPPL
Last updated 6.8;10 �'✓V I- 1 v
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Catering Loyalty#: Day/Date: Tuesday-September 36,2614
Contact/2nd Contact: Jennifer Hammon Set-up Time: 5:45pm
Company: Quantity: -15 Ch1Cke[iE;t
Address: Carmel Clay Parks Recreations Dessert:No lCookles „Brownies
City,State,ZIP: Indianapolis Indiana Order taken by: Carolina
Phone/Main#: 317-698-4966 Pick Up/Delivery: Pick up
Fax: Cross streets:
Email: Delivery person assigned:
Payment Type: Company Check Order.checked by:
Fridge Pouch:No 1rea Lemonade
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The total amount due for this catering will be for 135.00.This includes the tax exempt.Please make check to Qdoba#2037.Any questions please nail Qdoba at 317-879-9489.
General ManagerAddan.A..
GUEST ODOBA
1 each Catering kit 0:00 Sleeves of additional napkins
1 each chafing stand and 2-each canned fuel and one 4-inch deep full size aluminum Insert per stand.NOTE:It the guest does not have away to keep additional pans or
product hot add the necessary number of chaeng stands.
1 each disposable slotted serving spoon each disposable solid serving spoon FS each disposal soup spoon
5 each disposable tongs =each disposable ladle
20 each black plates 0
20 each plastic forks.NOTE:forks and napkins should be presented in a 64 oz container
3.9 lb's of chicken in a 2-Inch deep Y.size aluminum Insert with lid `
Maximum fid[o�pan files �' t paps needed t :=
0.0 lb's of steak in a 2-inch deep%size aluminum insert with lid
t �Mlukmrm flatorpar,sibs Qpn <
0.0 lb's of ground-beef(If added)in a 2-inch deep%size.aluminum Insert with Iitl ;?' ,,htaidirfuhrta[Pon -ns tbs Y"' ons needed a, R�'r;'.
30 each Flour Tortillas in a 2-Inch deep 12 size aluminum insert with lid held hot at 145F or higher
15 each.Corn Tortillas in a 2-inch deep 12 size aluminum Insert with lid held hot at 145F of higher.
1 each full bag of prepared chips.
0 Cookies each 0 Brownies each in 2-inch deep'/,size aluminum insert with lid
0 IlLemonacle Tea =Cups =Ice(lbs) ,.,) Mmcimum aittoil Ont nog 3i ro�,�>N ,ba9s,ieraed z ±i
rdaxihnura,0ii'forztiatba0231b�ust�.6ag's`neeslMv );�bNrA;;°
a s 2 Mild salsa in an 8 oz bowl with a lid
1 Verde salsa in an 8 oz bowl with a lid
1 Hot salsa In an 8 oz bowl with a lid e._
1 sour cream In an 8 oz bowl with a lid n /i
1 Guacamole In an 6 oz bowl with a lid �� 017 !
9 oz's:(weight)of cheese in a 64 oz.bowl with a lid Msciturm2eoz bovrls needed1 ;
6 ofs.(weight)of shredded4ebtuce in 64 oz,bowl with lid r�Maxfllb=3_Doz r.>.,bowts nesdda``, .J w,�n — -_--
ADD ONS
0 each 4 Ib.containers of rice in a2-Inch deep 12 size.aluminum insert with lid
0 each 4 Ib,containers of beans In a 2-Inch deep 12 size aluminum insert with lid
leach 4 Ib,containers of queso in a 2-inch deep 12 size aluminum insert with lid
gT-ry
,��'trasar�eihfo4q!luNtptibodsl�uatal�otuta�'peY�v)
All hot hems in a 2-inch deep 112 size aluminum Insert with lid Mild salsa-1 each a oz.bowl
Chicken.each,l=5 servings Rice-41b.Each Verde salsa-i each Boz.bowl coxaHother
Steak each,I=5 servings Beans-4l each Hot salsa-1 each 8 oz.bawl. DietOther
Ground Beef each,1-5 servings Black Cheese-each,.t=18 oz, SpriteCups
6 in flour Tortillas each-30 Ouaso-1 bag 41b.Each Sour cream.-1 each Boz.bowl WaterIcelbg
PLettuce-each,1 -9oz. Guacamole-1 each Sozbowl
VERIFICATION
verified
Time product is removed from the hot box.Note expiration Unto on receipt holder.
Temp hot products when product isremoved from.the hot box Chicken Steali - =Beans =Rice
Temp cold-products:when product.is removed from walk-in RSour Cream RGuacamole
I have Verified the order is accurate.
Food holding and coaling procedureshave been explained to me and I have received an instruction sheet.
Food should be.consumed or re go abed by >
Cusip er signature Date
Manager Slgnalure. Date
- _. ------------ ....- _:._............ _..: ..... .....__ ...,........... _ .. _.......... ...._
Carmel o Clay
Parks&Recreat0on CHECK REQUEST
Dater ' to
Check payable to: SEP 16 2014
Name: [a�C�c)�Oa eZ6 37
Address: A
City, State, Zip N
�Y1a�°�n o� 4GZu q
Mail check to payee _x_Return check to requestor
Check Amount:$ J� Date Required:.-
Check needed for: ��G�� �('Q��� - , 310
To be paid from: c�
PO#(if applicable) < <2 I Z�7� Yom•
Budget account-GL#
Budget Line Description .r
Invoices and Purchase Order if required) MUST be attached.
Invoice(s) ( q ) - -
Requested by (print):
Requested by (signature):
Approved by(signature of Division Manager):
-
on this date 9—Is—I L,
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/Check Request(rev 7-7-08)
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.
366236 Qdoba#2037 Terms
5630 W 86th St. 144
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/1/14 CKRequest Staff training 9/30/14 xx1129 $ 135.00
Total $ 135.00
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.
366236 Qdoba#2037 Allowed 20
5630 W 86th St. 144
Indianapolis, IN 46268
In Sum of$
$ 135.00
I
ON ACCOUNT OF APPROPRIATION FOR
108-ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-10 CKRequest 4239039 $ 135.00 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
i
I
i
j 18-Sep 2014
I
Signature
$ 135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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