HomeMy WebLinkAbout250354 10/07/15 9,��' �,q"F CITY OF CARMEL, INDIANA VENDOR: 359483
® ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: $�k......90.00"
FISHERS CARMEL, INDIANA 46032 8235 EAST 116TH ST,SUITE 201 CHECK NUMBER: 250354
9MiruN FISHERS IN 46038 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 9/17/15 90.00 GENERAL PROGRAM SUPPL
SEP 1,6 2015
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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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._��,ir,.s-.:lt.: :f`„l.<:33.__ .'},s'.. ji Yy.._ ..Y.` .eSi,F.•_.Y.:'�. _ _
item(s): uan i y: Rate: en a os
Nacho BarF 10 $8.00 $80.00
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ems): Quantity: Rate: Extended Cost:
Bundled Items 0 $3.00 $0.00
Queso 0 $1.00 $0.00
Guacamole 0 $1.00 $0.00
Rice 0 $0.50 $0.00
Drinks 0 $3.49 $0.00
3 cookies for $1.49 0 $0.49 $0.00
SUB TOTAL: $80.00
Discount $0.00
Customer : Dawn Koepper TAX: $0.00
Date : 9/17/2015 Total: $80.00
Location : Indianapolis PO# xx-2707 Tip: $0.00
Delivery : $10.00
Total w/delivery : $90.00
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.
359483 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
9/17/15 9/17/15 Site Training 9/17/15
X02707 $ 90.00
Total $
90.00
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.
359483 Moe's Southwest Grill Allowed 20
12483 N=MeridianStreet ,,J777
Ca"r"mel; IN..9460 '�f:�n
makeisure'this;jsymailed'to ttieycorr.ect In Sum of$
..._.�.....W
address
$ 90.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1081-6 9/17/15 4239039 $ 90.00 I 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
October 1, 2015
II
Signature
$ 90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1