HomeMy WebLinkAbout331735 10/30/18 � CITY OF CARMEL, INDIANA VENDOR: 370103
• ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $*******134.00*
CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 331735
CARMEL IN 46032 CHECK DATE: 10/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _
1081 4239039 109510172018 134.00 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370103 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Southern Rock Restaurants, LLC Payee
Attn: Jaime Clark
2355 E. 116th Street In Sum of$ Purchase Order#
Carmel, IN 46032 370103 Southern Rock Restaurants, LLC Terms
$ 134.00 Attn: Jaime Clark Date Due
2355 E. 116th Street
ON ACCOUNT OF APPROPRIATION FOR Carmel, IN 46032
108-ESE Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10814 109510172018DK 4239039 $ 134.00 Board Members 10/19/18 109510172018DK Staff Training#2 10/17/18 xx7502 $ 134.00
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
$ 134.00 Total $ 134.00
October 26,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
'PAYIr / MbUA) with IC 5-11-10-1.6
Cost distribution ledger classification if �X/iYl
claim paid motorvehicle highwayfund Signature 20
Accounts Payable Coordinator Clerk-Treasurer
Title
Southern Rock Restaurants,ILC, -_
Invoice�N1095 2018DK$� [IS �. Inuo�cejDate;m Oetoberl9201
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PO#/Order Date PO#XX 750 /10/17/2018
i Bil[T.o: Carmel Parks.
{ Dawn Koepper
Attn:.Jaime Clark 1 .Address: 1411 E. 116th Street
-2355.E 116th.St_ Carmel, IN 46032
Carmel In 46032 � : Phone:. .
317-573-4026
Phone:(317)817-8000 E-mail: dkoepper@carmelclayparks.cor
Celh: (317)410=.7089 .
Description _ Units Cost Per Unit- Amount. -
WRAP BOXES T-. - 12 $9.75 R $. ., 111.00 .
GALLONS� _- -- —' :Z,- $6.00 � $ ,.12 0.0. ..
- _ $ —
DELIVERY FEE 1 5;00.. $ 5.00 ..
TAX EXEMPT.# 0119683083=001'
PO#XX-7502
p$
JnVoice%Sabtotal� 1
Tax Rate 0:00%
- Sales Tax
TOTAL $ 134'r00
.T 174
q9!T"RW"!!"�M2ge
naRoekaRestaurants�LLC --
accounts.subject to:a service charge of 2%per month.
Thank you for your business!