HomeMy WebLinkAbout256822 03/29/16 r k�q
J`%` �� CITY OF CARMEL, INDIANA VENDOR: 370103
'_+. CHECK AMOUNT: $'*'""'108.99•
ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC
s ,� CARMEL, INDIANA 46032 8487 UNION CHAPEL ROAD CHECK NUMBER: 256822
�',�TON�°. INDIANAPOLIS IN 46240 CHECK DATE: 03/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 DK031416 108.99 GENERAL PROGRAM SUPPL
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
3/14/16 DK031416 TM Training Dinner 3/14/16 xx3452 $ 108.99
McAlister's Deli
Total $ 108.99
I 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$
$ 108.99
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
i
i
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1081-9 DK031416 4239039 $ 108.99 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
I
i
March 23, 2016
i
Signature
$ 108.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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MAR 2 2 2016
$outtherngRock Restaurants ,LLC,
ry:
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_�' � �`" { E Inu+oice Date - _March 14,2016
. . `-M PO: XX-3452
Bill To: DAWN KOEPPER
CARMEL PARKS AND RECREATIC
Attn of Kaitlyn McAfee Address: 1411 E 116TH STR
84OU)[ ioi GGhapel°Rd CARMEL, IN
flndia an poli,sI.N�462'40 Phone: 573-4026
Phone:317-259-4000 x E-mail: DKOEPPER@CARMELCLAYPARk
Cell:317-410-7089
r
Description Units Cost Per Unit Amount
CAFE SPUD MAX BAR; 15 $4.50 $ 67.50
SM DELUXE VARIETY TRAY 1 $18.99 $ 18.99
GALLON WORKS _ 3 $7.50 22.50
... _........ _ �..............
�.�. �...............__ _.....
Invoice Subtotal $ 108.99
Tax Rate 9.00%
Sales Tax EXEMPT
TOTAL
Make al�f cheC�k's'�pay ble o South'�e`n�Rock�Restaurants;�LLC ��!"',;
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
Thank you for your business!