HomeMy WebLinkAbout305796 12/07/16 .° ��A" CITY OF CARMEL, INDIANA VENDOR: 359483
ONE CIVIC SQUARE MOE'S SOUTHWEST GRILL CHECK AMOUNT: $*******154.00*
4t ,?�: CARMEL, INDIANA 46032 12483 N MERIDIAN ST CHECK NUMBER: 305796
��'��roN�°' CARMEL IN 46032 CHECK DATE: 12/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE.NUMBER AMOUNT DESCRIPTION
1081 4239039 5/9/16 154.00 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
359483 Moe's Southwest Grill Allowed 20
.:...:...............:....:::::::.:..::.:::::::....
In Sum of
$
$ 154.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 5/9/16 4239039 $ 154.00 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
November 30, 2016
Signature
$ 154.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
r; a
NOV 30 2016
LMoes=Southwest Grill1� L
115 5 SR46 Bypass Bloomington, IN 47408 (81_2) 336-6637
2483 N:aAAer dian�;5tr_eetCarmel =IN-4fi032�(317)848=6'637
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Item (s): Quantity: ate: Extended Cost:
Taco Bar 14 $8.00 $112.00
x ras
Item(s): T Quantity: ate: Exten ed Cost:
Bundled Items 14 $3.00 $4.2.00
Queso 0 , $1:00 $0.00
Guacamole 0 $1.0.0 $0.00
Rice 0 $0.00 $0.00
Drinks 0 $3.49 $0.00
3 cookies for $1.49 . 0 . $0.49 $0.00
SUB TOTAL: $154.00
Discount $0.00
Customer Dawn Koepper TAX: $0.00
Date 5/9/201=6::"�� Total: $154.00
Location : Carmel, IN Tip: $0.00
PO#XX-3681 Delivery : $0.00
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