HomeMy WebLinkAbout253211 01/11/16 d_4Qq
CITY OF CARMEL, INDIANA VENDOR: 370103
ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $......*645.00*
CARMEL, INDIANA 46032 8487 UNION CHAPEL ROAD CHECK NUMBER: 253211
INDIANAPOLIS IN 46240 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 DK121715 645.00 GENERAL PROGRAM SUPPL
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Southern Rock Restaurants,=LLC`°�t° .f°
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y. e1 .. a Ln� Inuo�ce�No DK121715
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r° ri �# '� �, , Inv_._',ate ` December 1Z 2015_ Yu
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I . . 1-444-111—, C W, -)
. .. � � G„ PO: XX-39338
�� � s Bill To: DAWN KOEPPER
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!„ w ' � CARMEL PARKS AND RECREATIC
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Attn of Kaitlyn McAfee �y Address: 1411 E.116TH STR
8� _4.8,7,;Union Chapel-Rdi
; a t.: CARMEL, IN
Indi�anapolis IN 46240 6a �` z k` Phone: 573-4026
Phone:317-259-40005 E-mail: DKOEPPER@CARMELCLAYPARk
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Cell:317-410-7089 a .,i +I ,
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Description . _ a Units Cost Per Unit Arnouo#,
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iCAFE`SPUD MAX BAR 1.25 $4 50 $ 562'50-:
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GALLON WORKS 15 '$5 50 $ 82 50r'
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Invoice Subtotal $ 645.00
Tax Rate 9.00%
Sales Tax EXEMPT
�a �" y'�' � w r ' TOTAL' r$ 6.,5iii
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�.C2x.o.. iM1r3+'R`x.E ..k.:.yL""'ur.$u°�$LLu' 4, -.,�......a...u..,n..".u.s,,.. a,_. a.,�.. d _
01ke al►checks payable to Southern Rock Restaurants, LLC h : .
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
11 .Thank you for your business!
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
370103 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
12/17/15 DK1 21715 ESE Staff event 12/17/15 39338 $ 645.00
McAlisters Deli
Total $ 645.00
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
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In.
Warrant No.
_________�
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} Allowed 20____
,them Rock Restaurants, LLC
37Union Chapel Road
./dianmpo|is. |yV 46240
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ON ACCOUNT OF APPROPRIATIONF(]R '
10@ -ESEPO#or
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Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1081 1hereby certify that the attached hnmico(s), or
\ bUl(s)io(ona)true and correct and that the
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materials mrservices itemized thereon for
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which charge ismade were ordered and
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received except
`
/
December 28 2015
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Signature
$ 646.00 Accounts Payable�
Coordinator
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund \
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