249815 09/23/15 4
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CITY OF CARMEL, INDIANA VENDOR: 369869
ONE CIVIC SQUARE MUDBUGS CAJUN CAFE LLC CHECK AMOUNT: $ .....101.25"
CARMEL, INDIANA 46032 20 WEST MAIN STREET CHECK NUMBER: 249815
CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 4359025 36731 101.25 ARTS DISTRICT FESTIVA
. ee us,
�_70Lq eee. Mudbugs Cajun Cafe LLC
20 W. Main Street
Carmel, IN 46032
Print. Copy
Not Paid
Description Extend
Chicken & Sausage Gumbo - R 6.95
Hush Puppies 1.95
Soft Drink 2.00
Pick Three Combo 9.95
-->Dirty Rice - P3 0.00
-->Chicken Courtboui 0.00
--->1/2 Shrimp Po'Boy 0.00
Shrimp Etouffee - Regular 8.95
Soft Drink 2.00
Chicken Po'Boy 8.95
Side: Hush Puppies
Soft Drink 2.00
Blao)c-Eyed Pea Jambalaya - 5.95
Hush Puppies - Double 3.95
Hush Puppies - Double 3.95
Shrimp Etouffee - Small 4.95
Soft Drink 2.00
Chicken & Sausage Gumbo - S 3.95
Jambalaya - Small 3.95
Black-Eyed Pea Jambalaya - 2.95
Hush Puppies 1.95
Soft Drink 2.00
Jambalaya - Regular 6.95
Soft Drink 2.00
Oyster Po Boy 13.95
Side: Hush Puppies
Subtotal 101.25
Taxes �3r4-
Total $110.36
Balance Due $110.36
Receipt#36731
Date: 9/5/2015, 7:35 PM
Come -back soon!
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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))
09/05/15 36731 $101.25
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mudbugs Cajun Cafe LLC
IN SUM OF$
20 W. Main Street
Carmel, IN 46032
$101.25
ON ACCOUNT OF APPROPRIATION FOR
Community Relations Gift Fund 854
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
854 I 36731 I Arts District Festivals I $101.25 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
Friday, September 18,2015
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund