HomeMy WebLinkAbout330728 10/02/18 +�r,CAgM
w� CITY OF CARMEL, INDIANA VENDOR: 370103
�) ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $***...**90.73*
CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 330728
v;....._... g CARMEL IN 46032 CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 109509192018 90.73 109509192018DK
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370103 Allowed 20- whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Southern Rock Restaurants, LLC Payee
Attn: Jaime Clark
2355 E. 116th Street In Sum of$ Purchase Order#
Carmel, IN 46032 370103 Southern Rock Restaurants, LLC Terms
$ 90.73 Attn: Jaime Clark Date Due
2355 E. 116th Street
ON ACCOUNT OF APPROPRIATION FOR Carmel, IN 46032
108-ESE Fund
PO#or nvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-3 109509192018DK 4239039 $ 90.73 Board Members 9/20/18 109509192018DK Staff Training 9/19/18 xx7428 $ 90.73
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
$ 90.73 Total $ 90.73
September 25,2018
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
claim paid motor vehicle highway fund Signature -.20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Sou#he�,n Ro k Reur�ans LLC
1 ' •' ` �C� � Invoice No. 1095 09192018DK
Invoice Date: eptember 20,2018
® PO# Order Date PO#XX-7428/09/19/2018
BiII:To• Carmel Parks
Dawn Koe e
pp .r.
.-Attn:Jaime Clark : g Address: 1411 E. 1166 Street
3t 16th S mel, IN 46032,
1•. .
Car
•arab. . n 4bQ3� Phone: 317-573-4.026 .
Phone: (317)817-8000 E-mail: dkoepper@carmelclayparks.cor.
Cell: 317-4194220 :
i.
Description " Units Cosf'Per Unit Amount
BOXED`MEALS V1//CLASSIC SIDE5 $8.75 $: 48.75
BOXED MEALS W/PREMIUM SIDE 2 M $9.50 $ A00
CHOOSE 2. 1 :. $7.99 $." .. 7.99. :
BOWL SOUP 1 :$4:79 ." $ �+: 4:79:
PSD SIDE —J1 $1:25 $.: 1.25.
FRUITSIDE -- 1 1:95 $ 195 ..
GALLONS(NO WORKS) 2 6.00-----------------------------
TAX EXEMPT#0119683083,001 ;
- - CES
PO#XX-7428 _ T
P -2-0 201 - -----�: .
Invoice Subtotal $- 90.73
Tax Rate :0:00%.
Sales Tax
-- 70TrAL $ UI■ 90 73
'11Aakeialllfeh.ecs pauable to Southern Rock Restaurants.LLQ
Total due-in 15:days.Overdue accounts subject to:a service charge of 2%per month.
Thank you'for your business!