HomeMy WebLinkAbout232084 05/06/2014 ;� - CITY OF CARMEL, INDIANA VENDOR: 359294
d I ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $ ....'693.90"
?� CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 232084
.y_TON,�o, KOKOMO IN 46904-2856 CHECK DATE: 05/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 693.90 FOOD & BEVERAGES
MI IAERICA
�• INVOICE
BEVERAGE- --.
CITY OF-CARMEL s ;
® RAGE g dba BROOKSHIRE GOLF CLUB
INC. '� �+' 121.20 BROOKSHIRE PARKWAY
supow 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856: k
Kokomo, IN 46904-2856 2 3542 EXP. 0 " 3 14
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/08/14 562308 Dustin. Smith 13 800 13
QUANTITY DESCRIPTION, DLPOS,IT.
•.
BASE September 30, 2013
PROMO/ #0514A
Wine: W342887
s
109 6--' Budweiser 24 Lse Can 18.30 109.80
209 12 BudvLt 24 Lse Can 18.30 219.60
408 2-- B Lt, Lime 2/12 Can 21 .60 43.20
909 1 �, Mich Ultra 24 Lse Can 19,20 19.20
1537 6' Stella 2/10 Park 14.9 oz 24.80 149.80
-7025 -6 Goose 312 2/12 Can 25. 55 153.30
f.r t fw kr
Cases 33
- - ' TOTAL SALE 693.90
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
9270 IMPORT PUMP DEPOSIT 33.00
693.90
RETURNS TOTAL CREDITS IIII0-
® CREDITS
i
❑ Cash ❑ EFT ❑ Es•rowCheck Number e . S
Driver �� 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))
05/08/14 562308 Beer $693.90
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
$693.90
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1207 I 562308 I 42-390.40 I $693.90 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, May 08, 2014
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund