248732 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 365313
b ! ONE CIVIC SQUARE BLU MOON CAFE CHECK AMOUNT: $*******451.80*
CARMEL, INDIANA 46032 200 S RANGELINE RD CHECK NUMBER: 248732
.oaa� SUITE 116 CHECK DATE: 08/26/15
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 082415CITY 451.80 ECONOMIC DEVELOPMENT
Blu Moon Cafe Invoice No. 082415CITY
200 S. Rangeline Rd Ste. 115
Carmel, IN 46032
317-844-8310
!INVOICE
Customer Misc
Name City of Carmel Date 8/24/2015
Address Palladium Order No.
City Carmel State IN ZIP 46032
Phone
Qty Description Unit Price TOTAL
1.5 Sandwich Platters $ 119.00 $ 178.50
Soup as side
1 Additional Order of Soup $ 55.00 $ 55.00
2 Dozen Assorted Desserts $ 18.00 $ 36.00
30 Assorted Beverage water,soda and teas $ 2.00 $ 60.00
1 Side of Vegetable Pasta $ 35.00 $ 35.00
0.5 Half Gallon $ 24.00 $ 12.00
Comes with disposable plates, napkins, silverware and cups
Delivery at 10:25am to the robert adams room in the palladium
SubTotal $ 376.50
20% $ 75.30
Payment Tax Rate(s) 0.000/.
Discount
Comments TOTAL $ 451.80
Please make check payable to Blu Moon Cafe
Thank you for your business!
Gig - , 'i.Y�
lC C U YZCT'� 2 U eN'G L,cvY
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/24/15 082415CITY $451.80
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.
ALLOWED 20
Blu Moon Cafe
IN SUM OF $
200 S. Rangeline Road, Suite 115
Carmel, IN 46032
$451.80
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 I 082415CITY I 43-593.00 I $451.80 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
Monday, August 24, 2015
e
Director, Community Relations/Economic Aevelopment
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund