252723 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 359483
ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: $"'""'*174.00'
CARMEL, INDIANA 46032 BZ3T?AST'i 16TH ST,SUITE 201 CHECK NUMBER: 252723
[ISFIF 1 0 ,, l A A�� CHECK DATE: 12/15/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT C DESCRIPTION
1081 4239039 12/8/15 174.00 GENERAL PROGRAM SUP;-PL
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x y s RECEIVED
DEC 1
:. 0 2015
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Moe's Southwest Grill
115 5 SR46 Bypass Bloomington, IN 47408 (812) 336-6637
12483 N Meridian Street Carmel, IN 46032 (317) 848-6637
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em s : Quantity: Rate: Extended Cost:
Taco Bar 11 $10.00 $110.00
Nacho Bar $8.0 8 $8.00 1 $64.00
�'�'�41}1461- 31111-
" -
em s : Quantity: Rate: Extended Cost:
Bundle 0 $3.00 $0.00
Guacamole 0 $1.00 $0.00
Rice 0 $0.50 $0.00
Queso 0 $1.00 $0.00
Drinks 0 $3.49 $0.00
3 cookies for $1.49 0 $0.49 $0.00
SUB TOTAL: $174.00
Discount $0.00
Customer : Dawn/Carmel Clay Parks TAX: $0.00
Date : 12/8/2015 Total: $174.00
Location : Carmel, IN Delivery : $0.00
PO#xx-3084 Total w/delivery : $174.00
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 ups Terms
12483 N Meridian Street C_CLOL_ - S5.
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/8/15 12/8/15 MT Staff training 12/8/15 xx3084 $ 174.00
Total $ 174.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
359483 Moe's Southwest Grill Allowed 20
12483�N`MerldiaiiStreet� ary ,q >�p -�`
Carmel; IN46032
Pl"make'surep-thisr't ,, a ileo to-the'correct In Sum of$
address
$ 174.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-5 12/8/15 4239039 $ 174.00 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
December 14, 2015
Signature
$ 174.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund