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191998 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364903 Page 1 of 1 b ONE CIVIC SQUARE BOSTON MARKET CHECK AMOUNT: $444.55 s. CARMEL, INDIANA 46032 1244 VVE S T 86TH ST INDIANAPOLIS IN 46260 CHECK NUMBER: 191998 CHECK DATE: 11/23/2010 DE PARTMENT ACCOU PO NUMBER INVOICE NUMBER A DESCRIPTION 1061 4239039 21975079747 444.55 GENERAL PROGRAM SUPPL Carmel 9 Clay Parks &Recreation CHECK REQUEST Date: 14November2010 Check payable to Name: Boston Market Address: 1244 West 86 Street City, State, Zip Indianapolis, IN 46260 x Mail check to payee Return check to requestor Check Amount 444.55 Date Required 03December2010 Check needed for Site Celebration Dinner To be paid from t� l PO (if applicable) E o V o l Budget account GL 42309039 Budget Line Description General Program Supplies Invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Nik esha Pittman Requested by (signaturep Approved by (signature of Division Manager): on this date II—( Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) Greetings from Boston Market. We thought you'd like to know we received your order today. The details of the order are below. Please review your order to confirm that it is accurate. If your order is inaccurate, please click here to update your order. You will not be able to reply to this email account. If you need to contact us, please call 866- 977 -9090. F Order Name: Mailing Address I z 1 W V Order Type: Catering Delivery 1�nc Var y 111 4 kb2to Order Number: 21975079747 Customer Info Delivery Contact Nikesha Pittman Nikesha Pittman 4311 E 116th Street 317 -418 -1396 Indianapolis, IN 46033 Primary 317- 418 -1396 Delivery Date Time Delivery Address Tuesday, November 23, 2010 Mailing Address 4:45 PM 5:00 PM 4311 E 116th Street Indianapolis, IN 46033 Menu Item Quantity Unit Price Total Deluxe Turkey Buffet Price is Per Person 45 $9.99 $449.55 Oven Roasted Turkey Gravy Mashed Potatoes Gravy Sweet Corn Cornbread Apple Pie Pumpkin Pie $25 discount for orders of $100 or more ($25.00) Total Discount ($25.00) Method of Payment: Cash Food Bev. Total: $424,55 Delivery and Setup Charge: $20.00 Estimated Tax: $38!21 IAX 0_ Tota 1: $482.76 333 Order Placed By: Amber Broman 1. Hqq .55 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. Boston Market Terms 1244 West 86th Street Indianapolis, IN 46260 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11123110 21975079747 Site celebration 444.55 Total 444.55 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 Voucher No. Warrant No, Boston Market Allowed 20 1244 West 86th Street Indianapolis, IN 46260 In Sum of 444.55 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO #or INVOICE NO. ACCT #ITITL AMOUNT Board Members Dept 1081 -11 21975079747 4239039 444.55 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 18 -Nov 2010 Signature 444.55 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund