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CITY OF CARMEL, INDIANA VENDOR: 365313
ONE CIVIC SQUARE BLU MOON CAFE CHECKAMOUNT: $*******222.00*
CARMEL, INDIANA 46032 200 S RANGELINE RD CHECK NUMBER: 303959
SUITE 115 CHECK DATE: 10/10/16
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 367008 091616CITY 222.00 CRC FESTIVALS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts city Form No.201 (Rev.1995)
BLU MOON CAFE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
200 S RANGELINE RD IN SUM OF$ CITY OF CARMEL
SUITE 115 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$222.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Community Relations Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
091616CITY 3-670.08 $222.00 1 hereby certify that the attached invoice(s),or 9/16/16 091616CITY $222.00
1203 854 1203 854
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
Wednesday,October 05,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Blu Moon Cafe Invoice No. 091616CITY
200 S. Rangeline Rd Ste. 115
C A F E Carmel, IN 46032
317-844-8310
INVOICE
Customer Misc
Name Meg Osbourne Date 9/16/2016
Address City of Carmel Carmel on Canvas Order No.
City State Zip
Phone
Qty Description Unit Price TOTAL
6 Gallons of coffee on 09/16/16 $ 24.00 $ 144.00
2 Gallons of coffee on 09/17/16 $ 24.00 $ 48.00
SubTotal $ 192:00
Drop off fee 2 days $ 30.00
Payment Tax Rate(s) 0.00% $ -
Comments Payment is due upon receipt of service.
Credit card are required to have on file TOTAL $ 222.00
for any event paying with a check or
cash the day of the event.
Please confirm with sign copy of invoice or confirmation email that the above information is correct and agreed upon.
Thank you for your business!