252134 12/02/15 ,CAq .
yf CITY OF CARMEL, INDIANA VENDOR: 370103
4 ® `'r ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $....."'531.23`
�p CARMEL, INDIANA 46032 8487 UNION CHAPEL ROAD CHECK NUMBER: 252134
,;,._.;o� INDIANAPOLIS IN 46240 CHECK DATE: 12/02/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 DK110915 79.75 GENERAL PROGRAM SUPPL
1081 4239039 DK111015 62.50 GENERAL PROGRAM SUPPL
1081 4239039 DK111115 107.49 GENERAL PROGRAM SUPPL
1081 4239039 DK111815 168.99 GENERAL PROGRAM SUPPL
1081 4239039 DK11615B 112.50 GENERAL PROGRAM SUPPL
7:C—F—IVED]
Southern Rock Restaurants, LLC 1 g 2015
Invoice No. DK111115
71 r.: t E17 b Invoice Date: November 11, 2015
XX-2951
�•=
Bill To:
DAWN KOEPPER
CARMEL PARKS AND RECREATIC
Attn of: Kaitlyn McAfee Address: 10721 LAKESHORE DR W
8487 Union Chapel Rd CARMEL, IN
Indianapolis, IN 46240 Phone: 573-4026
Phone: 317-259-4000 E-mail: DKOEPPER@CARMELCLAYPARIk
Cell:317-410-7089
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ULTIMATE NACHO 00 3
MINI COOKIE TRAY
f 7 99
GALLON WORKS
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Invoice Subtotal $ 107.49
Tax Rate 9.00%
Sales Tax EXEMPT
- •� . "�" ,� <��:.�5 TOTAL c�' • : ' �' ,�1•n�a
Make all checks payable to Southern Rock Restaurants, LLC
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
Thank you for your business!
�]ECE��7EI� i -
NOV 1 g 2015
Southern Rock Restaurants, LLC
d cv Invoice No. DK110915
r5 �' �' Invoice Date: November 9, 2015
1'"•!
PO: XX-2909
✓ � �` -"'' Bill To: DAWN KOEPPER
CARMEL PARKS AND RECREATIC
�`n 'T = Address: 10721 LAKESHORE DR W
Attn of: Kaitlyn McAfee �•, s.,,�•Y�;
8487 Union Chapel Rd ;rt, K€ '. CARMEL, IN
Indianapolis, IN 46240 ; :4�{ Phone: 573-4026
Phone:317-259-4000 E-mail: DKOEPPER@CARMELCLAYPARl<
Cell: 317-410-7089 * ',,
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Description,t ,,,y� ��n`.i r .IWd4Units°'. '�=� Cost PerzUnit 1 r Nmounta a
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Invoice Subtotal $ 79.75
Tax Rate 9.00%
Sales Tax EXEMPT
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Make all checks payable to Southern Rock Restaurants, LLC
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
Thank you for your business!
Southern Rock Restaurants, LLC
b
} ; f Inv ice No. DK111615B
CIA, '' j` �: a}= ice Date: November 16, 2015
PO: XX-2966
Bill To: DAWN KOEPPER
z# CARMEL PARKS AND RECREATIC
Attn of: Kaitlyn McAfee Address: 1411 E 116TH STR
8487 Union Chapel Rd _�».` �;= CARMEL, IN
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Indianapolis, IN 46240 - � , Phone: 573-4026
Phone: 317-259-4000 E-mail: DKOEPPER@CARMELCLAY PARk
Cell:317-410-7089 .a.: .
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Invoice Subtotal $ 112.50
Tax Rate 9.00%
Sales Tax EXEMPT
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Make all checks payable to Southern Rock Restaurants, LLC
Total due in 15 days. Overdue accounts subject to a service charge of 2% per month.
Thank you for your business!
�
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EIVED
Southern Rock Restaurants, LLC
NOV 2 4 2015
zv
.4 F4" Invoice Date: November 18, 2015
-2986
PO: XX
Bill To: DAWN KOEPPER
"M CARMEL PARKS AND RECREATIC
Attn of: Kaitlyn McAfee Address: 10721 LAKESHORE DR W
8487 Union Chapel Rd CARMEL, IN
Indianapolis, IN 46240 Phone: 573-4026
Phone: 317-259-4000 E-mail: DKOEPPER@CARMELCLAYPAR�
-410-7089
Cell:317
WRAP
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Invoice Subtotal $ 168.99
Tax Rate 9.00%
Sales Tax EXEMPT
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Make all checks payable toSouthern Rock Restaurants, LLC
Total due in 15 days. Overdue accounts subject toa service charge of 2% per month.
Thank you for your business!
Southern Rock Restaurants, LLC NOV 2 4 2015
M11 Invoice No. DK111015
� Invoice Date: November 19, 2015
PO: XX-3007
Bill To: DAWN KOEPPER
x,t .. CARMEL PARKS AND RECREATIC
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Attn of: Kaitlyn McAfee .� Address: 10721 LAKESHORE DR W
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8487 Union Chapel Rd _ {; 3 CARMEL, IN
Indianapolis, IN 46240 Phone: 573-4026
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Phone: 317-259-4000 ��-• �=�-.=,w• E-mail: DKOEPPER@CAR MELCLAYPARk
Cell:317-410-7089
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na ° � � ,a,�r��'� s � -; '� �,..t.� ..� •�?..�.�,5�ss:,e�xi.'Q'�.`_�.i'RSI3t �.;.-a.. ..�,t.r.�._�._ _ -
CAFE SPUD OLE4BAR
3 $4 50
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GALLON WORKS sF',' s, s 7:50`
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Invoice Subtotal $ 62.50
Tax Rate 9.00%
Sales Tax EXEMPT
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Make all checks payable to Southern Rock Restaurants, LLC
Total due in 15 days.Overdue accounts subject to a service charge of 2% per month.
Thank you for your business!
I
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.
Terms
Southern Rock Restaurants, LLC
8487 union Chapel Road
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/11/15 DK111115 Food for training 11/11/15 xx2951 $ 107.49
11/9/15 DK110915 WB Staff training 11/9/15 xx2909 $ 79.75
11/16/15 DK111615B TM Training Supplies xx2966 $ 112.50
11/18/15 DK111815 FD Training xx2986 $ 168.99
11/19/15 DK111015 OP Training 11/19/15 xx3007 $ 62.50
McAlister's Deli
Total $ 531.23
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
120
Clerk-Treasurer
i
Voucher No. Warrant No.
Allowed 20
Southern Rock Restaurants, LLC
8487 union Chapel Road
Indianapolis, IN 46240 In Sum of$
$ 531.23
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1081-8 DK111115 4239039 $ 107.49 1 hereby certify that the attached invoice(s), or
1081-11 DK110915 4239039 $ 79.75 bill(s)is(are)true and correct and that the
1081-9 DK111615B 4239039 $ 112.50 materials or services itemized thereon for
1081-4 DK111815 4239039 $ 168.99 which charge is made were ordered and
1081-6 DK111015 4239039 $ 62.50 received except
November 25, 2015
1P
Signature
$ 531.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund