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259984 06/24/16
0�31/4CITY OF CARMEL, INDIANA VENDOR: 370103 ONE CIVIC SQUARESOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $*****1,621.70* CARMEL, INDIANA 46032 8487 UNION CHAPEL ROAD CHECK NUMBER: 259984 INDIANAPOLIS IN 46240 CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4359000 DK050216 245.00 SPECIAL PROJECTS 1082 4239099 DKO51716 793.20 OTHER MISCELLANOUS 1082 4239099 DKO51916 583.50 OTHER MISCELLANOUS Voucher No. Warrant No. Allowed 20 370103 Southern Rock Restaurants, LLC 8487 Union Chapel Road Indianapolis, IN 46240 In Sum of$ $ 1,621.70 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 1108 ESE PO#or INVOICE NO. A.CCT#1TITLE AMOUNT Board Members Dept# 1125 DK050216 4359000 $ 245.00 1 hereby certify that the attached invoice(s), or 1082-99 DK051916 4239099 $ 583.50 bill(s) is(are)true and correct and that the 1082-99 DKO51716 4239099 $ 793.20 materials or services itemized thereon for which charge is made were ordered and received except June 15, 2016 Signature $ 1,621.70 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Y � Southern Rock Restaurants, LLC US- T � �1l �_' avoice DK050Invoice Date ., �}J:U;N,E;14;2b16 CM \ ® Bill To: DAWN KOEPPER CARMEL CLAY PARKS Attn: KAYLEE LYNN Address: 1411 E 116TH ST 8'87Unioh'Cl�a�eIRd CARMEL INDIANA niati Phone: -4026npq ra z 317-573 Phone 317=259'-4000 E-mail: ;DKQEF.P..ER CARMELCLAYPARK: Cell:317-410-7089 PO �' ! '#XX-36696 Deseripfiion k r ,rt � l9�nits Cost Per Unit Amount _ BOX LUNCHES 28 $8.75 $ 245.00 Invoice Subtotal $ 245.00 Tax Rate Sales Tax TOT�A $ ��245 0 Make all checks payable to SouthernRock Restaurants,-LLCM .� Total due in 15 days.Overdue accounts subject to a service charge of 2%y0 ermoqh, Thank you for your business! e � i Southern Rock Restaurants, LLC EER;J�'✓ � Invoice No r* fy' �"� '©KQ51916��``� 1^ i ` `hb Sll fit- ` $ :i S •i.�.•-•_Pr t Li � 4In` oice Date . MAY 12,2016 _ ._ CM . Bill To: DAWN KOEPPER CARMEL CLAY PARKS Attn: KAYLEE LYNN Address: 1235 CENTRAL PARK DRIVE EAS- 8 487 Union Cliapel'Rd `7 INDIANAPOLIS, IN It radia f,6' 's,`IN 46240 Phone: 317-573-4026 ` Ph-di E-mail: DKOEPPER@CARMELCLAYPARK: Cell:317-410-7089 PO #39894 Description Units Cost Per••Unht " Am`du,nt BOX LUNCH—�_____ 60 $8.75 -A- $ ---_- ----�---525.00 ENTREE SALAD 5 $11.70 $ 58.50 $ i $ 1 I Invoice Subtotal $ 583.50 Tax Rate Sales Tax TOTAL $` 583 . .a+ "e i! Mai ke all checkspayab`te to-Southern Rock Restaurants,-LLCM` Total due in 15 days.Overdue accounts subject to a service charge of 2%per month. Thank you for your business! J , ti Southern Rock Restaurants, LLC S 051716:,tiI LISSTY InvoiV ce Date. MAY 12,2016°--� ® I Bill To: DAWN KOEPPER I CARMEL CLAY PARKS Attn: KAYLEE LYNN Address: 1235 CENTRAL PARK DRIVE EAS" 8487 Union Chapel Rd INDIANAPOLIS, IN Q dianapolis, IN 462401" Phone: 317-573-4026 Phone`317259=4000=J E-mail: DKOEPPER@CARMELCLAYPARK' Cell:317-410-7089 PO #39893 Description Units Cost Per Unit Amount'. BOX LUNCH 75 $8.75 $ 656.25 ENTREE SALAD 8 $11.70 $ 93.60 ENTREE SPUD 3 $12.20 $ 36.60 EXTRA TOPPING 9 $0.75 $ 6.75 Invoice Subtotal $ 793.20 Tax Rate Sales Tax — _ - --— —_- -- --- -_ - ---— -- --- -TOTAL r$ 4' 3r t793.2 0 Mak all checks-payable to SouthernRock,Restaurants,:LLC :., `f.i:__- Total due in 15 days.Overdue accounts subject to a service charge of 2%per month. Thank you for your business!