HomeMy WebLinkAbout253152 01/11/16 %'' \ CITY OF CARMEL, INDIANA VENDOR: 359483
ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: $******"109.98'
�. ��� CARMEL, INDIANA 46032 12483 N MERIDIAN ST CHECK NUMBER: 253152
9.y�iTON�` CARMEL IN 46032 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 12/15/15 109.98 GENERAL PROGRAM SUPPL
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DEC 16 2015
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�iAQe'ss; --5outhwestGriII
115 5 SR46Bypass Bloomington, IN 47408 (812) 336-6637
1 483'N McFdian`Str`eet Cdrmel IN 46032x$48 6637 ` z
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J.Tem(s): Quantify: Kate: Extendea Cost:
Nacho Baril 1 11 $8.00 $88.00
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ems Quantity: Rate: Extended Cost:
Bundled Items 0 $3.00 $0.00
Quzso 0 $1.00 $0.00
Guacamole 0 $1.00 $0.00
Rice 0 $0.50 $0.00
-Drinks 2 $3.49. 1 $6.98
3 cookies for $1.49 0 $0.49 $0.00
SUB TOTAL: $94.98
Discount $0.00
Customer : Dawn Koepper TAX: $0.00
Date : `i1F2%>3'5/20:1��5�j � , ° Total: $94.98
Location : Indianapolis,IN Tip: $0.00
Delivery : $15.00
otal w/de�rverY,��' °�`�x �•,: .D.� .�:�.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice.of N-Irto 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
15W Purchase Order No.
359483 Moe's Southwest Grill Terms
12483 N Meridian Street
Carmel, IN 46032
I
Invoice''- -Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/15/15 12/15/15 OP ESE Staff Training 12/15/15 xa3131 $ 109.98
Total $ 109.98
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
20Clerk-Treasurer
Voucher No. Warrant No.
359483 Moe's SouthwestGrill. Allowed 20
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G-armet; EN 46�2 _ J I i
ma e ure tt`is is maiieci toh correct In Sum of$
address
$ 109.98
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. 4,CCT#/TITLE AMOUNT Board Members
Dept#
1081-6 12/15/15 4239039 $ 109.98 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
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December 22, 2015
Signature
$ 109.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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