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303839 10/06/16 s�qs;� CITY OF CARMEL, INDIANA VENDOR: 359483 ¢I ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: S•`•"""195.00• s. ;?� CARMEL, INDIANA 46032 12483 N MERIDIAN ST CHECK NUMBER: 303839 9Mp_.._� CARMEL IN 46032 CHECK DATE: 10/06/16 �roa�°. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 166 195.00 GENERAL PROGRAM SUPPL Voucher No. Warrant No. 359483 Moe's Southwest Grill Allowed 20 ``:�� �€. �>•��grid>" fr �•l:i:•��:%''r:�+:�]C:is:�:XM��::%i'?;:v:i'N„/+.::?�:,>.i;:;:j:^'r v ;} Jiiiii: .�:::» :+�•:,i.?S�:Ljin�;:u��i:�i:����•1::��:::��::i:�?�::�<!:Y:'i�ii:Cti�'::iiiii'riiiiii: �`� €lakc;_$uta c, tcs>rnr1tQ:t( [ '' In Sum of$ $ 211 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-7 166 4239039 $ 211.20 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 September 26, 2016 Signature $ 211.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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. 359483 Moe's Southwest Grill Terms 12483 N Meridian Street Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 9/19/16 166 Training Dinner 9/19/16 xx4285 $ 211.20 Total $ 211.20 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 01 TSA southwest grill, #350 Moe's Southwest Grill 12483 N. Meridian St Carmel, IN 4603.2 317-848-6637 ##0166 OUT 1 OPEN CTR 180.00 SUBTOTAL 180.00 TAXABLE 180.00 TAX 1 16.20 TAX TOTL 16.20 TOTAL 196 . 20 ��U� VISA iA/C 196.20 **$2.00 OFF NEXT VISIT** 0-5,.90 fEL 1) Visit www.moegottaknow.co 2) Enter Store 4, leave feedback �Z iL ZO 3) Write redemption code: Survey valid for 3 days. Certain restrictions apply. Jenny CSHR 001 0270 17:14 SEP 19'16 11001 W/S#01 P1