HomeMy WebLinkAbout231485 04/16/14 CITY OF CARMEL, INDIANA VENDOR: 359294
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ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $ .....*93.00'
a° CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 231485
KOKOMO IN 46904-2856 CHECK DATE: 04/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 93.00 FOOD & BEVERAGES
MA I, ,ER'CA ,i j INVOICE
CITY OF CARMEL F 11
B GE ., t' d ba BROOKSH I RE GOLF `CL�6W'
INCE12120 BROOKSHIRE PARKWAY
2755 Commerce r!
ix CARMEL IN 46032
D '
P.O. Box 2856
856Kokomo, IN 46904 ^t ^ 5L EXP. G 7I i z 1 1
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/17, 559844 Dustin Smith 13 800 13
QUANTITY DESCR TION --A:
•.
BASE September 30, 2013
PROMO #0414
WINE: W3428870
Pump $85/$75 Refundable
209 � Bud Lt 24 Lse Can 18.30 (�(� 5'•5
Cases 25
TOTAL SALE
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00 A
9230 . PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
4
Kms'V
• cREbI
O CREDITS
❑ Cash ❑ EFT ❑ Escrow E Check Number
f . c
Driver �� /-� Received By //j/]
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/17/14 I 559844 I Beer I $93.00
I
i
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.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$93.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 559844 I 42-390.40 I $93.00 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
Thursday, April 17, 2014
Director, Brook re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund