HomeMy WebLinkAbout326604 06/28/18 / o CITY OF CARMEL, INDIANA VENDOR: 370103
ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $...****137.50*
i� Via; CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 326604
9M��ioN�° CARMEL IN 46032 CHECK DATE: 06/28/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 137.50 109506142018DK
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO. _
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370103 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Southern Rock Restaurants, LLC Payee
Attn: Jaime Clark
2355 E. 116th Street In Sum of$ Purchase Order#
Carmel, IN 46032 370103 Southern Rock Restaurants, LLC Terms
$ 137.50 Attn: Jaime Clark Date Due
2355 E. 116th Street
ON ACCOUNT OF APPROPRIATION FOR Carmel, IN 46032
101 -General Fund
PO#or nvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
Breakfast for atura Resource eeting
1125 109506142018DK 4359000 $ 137.50 Board Members 6/15/18 109506142018DK 6/14/18 xx7047 $ 137.50
I 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
$ 137.50 Total $ 137.50
June 20,2018
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
Cost distribution ledger classification if IPANV?K�
claim paid motor vehicle highway fund Signature _,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
%S SO W. MMA, �R'estauran#s C� � � �
8 Min
6 MT/ I n_uo No5C �L { BY: aun'e1115-20118" .
P.Q11-I`]O.rderYate P®#W70-4s7/06/14/2018
MO TO: Carmel Parks
Dawn Koepper
Attn:Jaime Clark - Address: 1411 E.116th Street
�2355�E 116.`th St .r
Carmel,
46032
lMa mel In 6032 Phone: 317-573-4026
Phone:(317)817-8000 E-mail: dkoepper.@carmelclayparks.cor.
Cell;(317)441=2946: -
Description ^� V Units Cost Per Unit _ Amount
GALLONS COFFEE 2. $15.00
BREAKFAST BOXES - _ 10 $7.25 $� 7i.5.0 1:
BAKE.RYTRAY . . 8. .. $3.75 . ., .: $. . 30.00.
$
DELIVERY FEE 1 5:00 $ 5.00
TE# 0119683083=001
PO#XX-7047.
{
Invoice Subtotal $ 137.50
Tax Rate 0.00%
Sales Tax
TOLAL 137.50
CMake all checksyp"``'ay Ie to S th'ern-Ro_ck eR�ts4 aurants, LLC `
Total due in 15 days.Overdue accounts subject to a service charge of 2%per month.
Thank you for your business!