HomeMy WebLinkAbout253979 01/26/16 {u!_F�gy
J`/ �� CITY OF CARMEL, INDIANA VENDOR: 370103
I; ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $********63.86*
s.. ?a CARMEL, INDIANA 46032 8487 UNION CHAPEL ROAD CHECK NUMBER: 253979
9.y��ioN�� INDIANAPOLIS IN 46240 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 DKO11316 63.86 GENERAL PROGRAM SUPPL
S�,�outhernu�Rock�Restaurants;`LLC' ���`'
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Invoice Date p t= �Janu�ar 2016&
P0: XX-3198
Bill To: DAWN KOEPPER
CARMEL PARKS AND RECREATIC
Att'ri5`of�Kartlyn�IVlcAfee Address: 1411 E 116TH STR
�q�tk)an i
84'87t,UM48on,'Chapel d CARMEL, IN
Indian dpI N`4620", �� Phone: 573-4026
Phone.X17=259 4000 E-mail: DKOEPPER@CARMELCLAYPARk
Cell:317-410-7089 I`
Des�riptlon - _ Units Cost Per,Un�t c o`mo�nt
1.�a..'s.., `»
CAFE SPUD MAX BAR' 11 $4.50 $ 49.50
SOUP/CUP � 4' _ $3.59 $ 14.36
Invoice Subtotal $ 63.86
Tax Rate 9.00%
Sales Tax EXEMPT
v4tTp1: $ 's; mss._. 63$6
K�y4� tih'P:r v Ott 7 r 7 y,- �.
fila.fthec -Vobyable toxSautMh R,6 4,11b auc,dnts;,�LrC 4: ^
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
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
1/13/16 DK01 1316 Food for Training 1/13/16 xx3198 $ 63.86
McAlister's Deli
Total $ 63.86
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.
Allowed 20
370103 Southern Rock Restaurants, LLC
8487 Union Chapel Road
Indianapolis, IN 46240 In Sum of$
r
$ 63.86
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-8 DKO11316 4239039 $ 63.86 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
January 21, 2016
Signature
Accounts Payable Coordinator
Title