HomeMy WebLinkAbout232691 05/20/14 CITY OF CARMEL, INDIANA VENDOR: 359294
CHECKAMOUNT: $*******226.70*
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ONE CIVIC SQUARE MID AMERICA BEVERAGE INCCARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 232691
KOKOMO IN 46904-2856 CHECK DATE: 05/20/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 226.70 FOOD & BEVERAGES
MI WRICA INVOICE
BEVERAGE . . . . . . . . CITY OF .C:))MEL
INC.- dba BROOKSHIRE 601_F CLUB
' 12120 BROOKSHIRE PARKWAY
mallow 2755 Commerce Dr. CARMEL I N 46032
P.O. Box 2856 `'fJ
Kokomo, IN 46904-2856
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/22/14 56.x954 Dustin Smi-L-h 1, 800 13
PRODUCT I QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
LASE September- 30, 2013
PROMO #0514A
Wine>W3428870
104 3 r'� Budweiser 24 Lse Can 18.60 55.80
209 E3 '`� Bud Lt 24 Lse Can 1B.60 145.80
1516 ? '� Shock Lemon 16 07 6/4 CN 22. 10 22. 1:
Cases 12
PROD.CODE QTY� DESCRIPTION PRICE AMOUNT
TOTAL SALE
10303 EMPTY AB 116 30.00 T
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K .
226.70
RETURNS TOTAL CREDITS 00 y
O CREDITS
El Cash Ll EFT [IEscrow X Check Number
f ,
Dnver_ ��?Y Received By
J - -
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$226.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 563959 I 42-390.40 I $226.70 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 22, 2014
v y
Director, Brooks ' e Golf 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))
05/22/14 563959 Beer $226.70
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