HomeMy WebLinkAbout232039 04/30/14 CITY OF CARMEL, INDIANA VENDOR: 359294 -
4 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******412.45*
?� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 232039
9M1roNc�` KOKOMO IN 46904-2856 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 412.45 FOOD & BEVERAGES
MIWANIERICA INVOICE
MEL
�d ba 13 0010 q z RE' GQL_� CL(II
- BEVERAGEINCE J.2-120 BROQKISMIREPIARKWAY
00
2755 Commerce Dr. CARMEL IN 4b�J-:2
P.O. Box 2856
Kokomo, IN 46904-2856 RR 2 0 3 12 E X P. a 7 l t 7, 14
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER, CUSTOMER NUMBER ROUTE
04/124 L4 5607C7 Dustin 8m th 1 800
PODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
BOSS Seotember- 30, 201
PRt1MID 40414
WINE- It!342SID:0
pump $85/$75 ReflindablE.
109 3 BudWeiser, 24 L_se Can 55.8
209 �` Hud Lt 24 Lsc ,Can 18.60 149.F3
90 i\jjc h. L)Itr-a 24 !Lse ,Can 1 .30 �i�/l•}�������
y
/t
3
Cases 12 _
--.. .. • . . TOTAL SALE X23
10303 EMPTY AB'1/6 30.00 T
10304 EMPTY AB 1/2 30:00 . f$ F
- T t
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00,: Nf
9270 IMPORT PUMP DEPOSIT 33.00 K
RETURNS • , Y
® CREDITS _'
❑ Cash ❑ EFT ❑ Escrow _;Check Number-, - j
Driver . �' �=�' �/ �� Received By
' i1
.
MI��IVIE, j RICA INVOICE
� - O
BEVERAGE . . .
CITY OF -CARMEL . . . . . . . . .
d biz BROOD:SH I RE GOLF= CLUB
INCE I4 12120 9ROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 2 35 . `' '° -' '
RR29P,3542 J�A� f.L 1..f\i lI/ f J.�-.1f .�.
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/01/14 561'1676 Dusti�� Smith 1 800PRODUCT lv
• . •
•. DEPOSIT
BASE September 30, 2013
PROMO #0414
WINE. W3428370
Pump $85/$75 Refundable
109 4 Dudwel.ser 24 Lse Can 18.60 74,.-gO
209 8 Bud L't. 24 Lse Can 1B.60 1.48.so
408 2 B Lt Lime 2/1.2 Can 2-1 .E?�; 435 . 70
909 2— I'flich Ultra 24 Lse Can 19.30 38.60
1537 2 -- Stella 2/10 Pack 14 .9 oz 24.90 49.60
7025 3 Goose 312 2%1.2 Can 25. 55 76.65
/r
Cases 21
PROD.CODE QTY� DESCRIPTION PRICE AMOUNT TOTAL SALE 431 .75
10303 EMPTY AB 1/6 30.00 j'
110304 EMPTY AB 1/2 , 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
fi31 . ;5
RETURNS TOTAL CREDITS 00. Y
CREDITS
®
❑ Cash ❑ EFT ❑ Escrow /! Check Number U • . y t�/�
Driver �.d° / / �i Received By
VOUCHER NO. WARRANT NO.
.,
Mid America Beverage Inc. ALLOWED 20
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$412.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 560707 42-390.40 j ($19.30) 1 hereby certify that the attached invoice(s), or
1207 561676 42-390.40 $431.75 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
Friday, May 02, 2014
t
Director, Brookshir Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 560707 Beer ($19.30)
05/01/14 I 561676 I Beer I $431.75
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