HomeMy WebLinkAbout231789 04/23/14 ' - CITY OF CARMEL, INDIANA VENDOR: 359294
d ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $ ...'*223.90"`
s._ ,?� CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 231789
'.y,��UN gip. KOKOMO IN 46904-2856 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 223.90 FOOD & BEVERAGES
MIWAMIERICA INVOICE
�EVE�AGE CITY OF CARMEL
dba BROOKSH I RE GbL'F 'CLU��
INC. 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903342 03 r. 07113114i
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/24/14 560707 Dustin Smith 13 800 13
QUANTITY R'ICE DEPOSIT-'
DESCRIPTION
•.
BASE September 30, 2013
PROMO #0414
WINE: W3428870
Pump $85/$75 Refundable
109 3 '� Budweiser 24 Lse Can 18.60 55.80
209 8 Bud Lt 24 Lse Can 18.60 148.801
909. _ Mich Ultra 24 Lse Can 19.30 �oti /�
I
G� I
1
Cases 12
I
--" ' - - ' TOTAL SALE 223.94
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H --
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00. N O
.9270. IMPORT PUMP DEPOSIT 33.00 K
RETURNS JOTALCREDITS y
�j ® CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number
Driver s/,//�� Received By
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))
04/24/14 I 560707 I Beer I $204.60
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$204.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 560707 I 42-390.40 I $204.60 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
41
7, ,�,U
j T, materials or services itemized thereon for
which charge is made were ordered and
received except
V
l
Friday, April 25, 2014
f
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund