HomeMy WebLinkAbout333823 12/21/18 y u�_C^�AM
'/ CITY OF CARMEL, INDIANA VENDOR: 370103
ONE CIVIC SQUARE SOUTHERN ROCK RESTAURANTS LLC CHECK AMOUNT: $*******391.48*
r Via, CARMEL, INDIANA 46032 2355 E 116TH ST CHECK NUMBER: 333823
;�ioN.-�� CARMEL IN 46032 CHECK DATE: 12/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 109512082018 391.48 GENERAL PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370103 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Southern Rock Restaurants, LLC Payee
Attn:Jaime Clark
2355 E. 116th Street In Sum of$ Purchase order#
Carmel, IN 46032 370103 Southern Rock Restaurants, LLC Terms
$ 391.48 Attn:Jaime Clark Date Due
2355 E. 116th Street
ON ACCOUNT OF APPROPRIATION FOR Carmel, IN 46032
108-ESE Fund
PO#or INVOICE N0. ACCT#!TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 109512082018DK 4239039 $ 391.48 Board Members 12/14/18 109512082018DK Lunch for YMHFA Staff Training 12/8/18 52194 $ 391.48
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
$ 391.48 Total $ 391.48
December 19,2018
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
Southern.Rock Restaurants, LLC
5 f 4 ST
eNo
� ��+, --,;�, �'�, . KlnvoicehDate`s=� w Dec�emWb?c�34 2018
�'.. a tw i PO#/'O.rder Date PQ#5219 2/08/2018
Bill To: Carmel Parks&Rec
Dawn.Koe:pper
Attn:Jaime Clark Address: -1411 E. 116th:Street _ -
.2355.E 116th St 'RIVED Carmel, IN 46032
Carmel In 46032 i Phone: 317-573-4026
Phone:(317)817-8000 DEC. 1 7 20.18 ! E-mail: dkoepper@carmelclayparks cor.
.Cell.: :(317)410-.7089
Description Units w Cost Per Unit Amount
TRADITIONAL SAND TRAY W/CHIPS— - -- 30 - -- $7.50 - - $- 225 00.
BACON/CHEESE SPUD BAR
25 �- � _$4:Ob �� $ � 100.00_ ..
COOKIE TRAY 2 $11.99 $ 23.98
GALLONS W/WORKS,. 5 $7.50 $ 37;50 ..
DELIVERY FEE.. . 1 5.00.: $ 5:00 -.
�PO#52194
TAX EXEMPT.#0119683083-001:
Invoice Subtotal $ 391.48
Tax Rate 0.00%
Sales Tax
TOTAL $ 3914&
--
Make alll<eh'eckspayable_to SouthernaRock Restaurants,;LL"C`�i,
Total due-in 15 days:Overdue accounts subject to a service charge of 2%per month.
Thank you for your business!