315284 8/29/2017 `� "�''� CITY OF CARMEL, INDIANA VENDOR: 362955
ONE CIVIC SQUARE SOUTHERN FOOD SYSTEMS
�>:
�` CHECK AMOUNT: $********73.75*
=q: CARMEL, INDIANA 46032 PO BOX 19635 CHECK NUMBER: 315284
-INDIANAPOLIS IN 46219 CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4350000 171957 73.75 EQUIPMENT REPAIRS & M
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.
362955 Southern Food Systems Terms
P.O. Box 19635
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/15/17 171957 Soft Serve Machine Repair xx5757 $ 73.75
Total—r$— 73.75
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
Clerk-Treasurer
�L
AUG 1 7 2017 ❑ ❑ o
BY: ..... . ...
1719574
P.O.Bm 19635 08/15/17
4 pdianapolis, Indiana 46219
(317) 322-5800 L PAGE 1
SOLD TO CARMEL CLAY PARKS &REC. dba MONON CTR SHIP TgVIONON CENTER
1411 E. 116TH STREET 1235 CENTRAL PARK
CARMEL,IN 46032 DRIVE EAST
CARMEL,IN 46032
(317) 848-7275
113022
SERVICE CUSTOMER I.D.:
SHIP VIA: 08/15/17 P.O.NUMBER:
CALL DATE: 08/30/17 P.O.DATE:
DUE DATE: OUR ORDER NO:
TERMS: Net 15 SALESMAN:
LD. CSCE{{P71(�h! Itll! FED
230-245 8/7/17 MIKE 0.250 0.250 75.00
TRIP CHARGE 55.00
88T-RMT D2L-1467
Invoice subtotal 73.75
Immim halal 73.75
I
SIGNATURE:
I AGREE THAT EVER HING LISTED ON INVOICE IS ACCOUNTED FOR k UNDAMAGE ,UNLESS OTHERWIS r,NOTED.
BE PREPARE FOR THOSE LAST MINUTE PICT ICS AND ROAE TRIPS, HAVE I XTR k PRODUCT ON I LAND!
WHITE COPY—SOUTHERN FOOD SYSTEMS YELLOW/PINK COPY—CUSTOMER
uQD
�l
_ Q 10N nLuo D
1 C() ~ t c
.0 a
133
o � d
Ly -
rd J
_
coo J —
o N
� y d
C
O M m O
a Z .o
c c �
M
Q Q m V
2 ..
Q � iv
/
rnoo 4 d
M � Q
4
0 Z N ti Ii
I
VI
M O O
Oca
►a— 00
o c
z 4d w
LL
9Q a
H