HomeMy WebLinkAbout308433 02/22/17 \� CITY OF CARMEL, INDIANA VENDOR: 370103
d ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $.......*533.00*
=q CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 308433
CARMEL IN 46032 CHECK DATE: 02/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 533.00 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
Allowed 20
370103 Southern Rock Restaurants, LLC
In Sum of
$
............a.:.................................:...........................
$ 533.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 109502152017DK 4239039 $ 533.00 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
February 17, 2017
'PACM"VKIAL)
Signature
$ 533.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Southe'r�n �Resau'ran#s
fIn Dice No.. 1095 0215Z017DK
Iff
_ Invoice Date'' a :" .°February 1!52Q7
—
. PO#/Order Date PO#41109/02/15/2017
mr-c Bill To: Dawn Koepper/Carmel Parks
SIRA 3 q
Attn:Jaime Clark :W r333 Address: 1411 E.116th Street
2355 E.116th Street Carmel, IN 46032
Carmel, IN 46032 �� ' � Phone: 317-573-4026
317-817-8000
� _ � �, E-mail: dkoepper@carmelclayparks.cor
317-441-2946
z�ESCr1pt10t k llnitS COSt Per!)rIt / I1�KOGnt,:
.�...rs..ii�.,�zk�.�..;�..a„usa a,...xc,.,
$
,SPUD MAX BAR 100'. $4.5 $ 450.00.
a
GALLON,SWEET _ 4 $6.00 $ 24.00
GALLON UNSSNEET 4 $6.00. $ 24=
GALLON LEMONADE ; 5 , 6.00: 30.00
$
DELIVERY FEE'`(2 4 MILES)
PO#41109/TE#0119683083=001 `: 15
_
Invoice Subtotal $ 533.00
Tax Rate 0.00%
Sales Tax .
I.
Make all checks payable to Southern Rock Restauraan s LL.0
Total du r -aysx.Gv—eftdue�� acco sum b ect o a service charge of 2%per month.
Thank you for your business!