HomeMy WebLinkAbout232968 05/28/14 J�! \'• CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******323.80*
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 232968
gM�TON�. KOKOMO IN 46904-2856 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 323.80 FOOD & BEVERAGES
MIERICAINVOICE
BEVERAGE
' ' . CITY OF -CARMEL
INC. dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903542 EXP. 0//!,',S/14
765-459-3117
800-382-0675
I Fax: 765-457-7967
BEER W3409212 ,
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER Y '- ROUTE
05/29/14 56493,0 Dustin, Smith 13 8t?0 ``; "` 13
PRODUCT
CODE QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
BASE September 30 a. 2013
PROMO #0514A
Wine:W3428870
209 10 / Bud Lt 24 Lse Can 18.60 186.00
909 2 Mictz Ultra 24 Lse Can 19.30 38.60
1537 4 Stella 2/10 Pack 14.9 oz 24.80 99.20
Cases 16
PROD.CODE • 323-90
10303 EMPTY AB 1/6 30.00
F17gr�
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230• PUMP DEPOSIT. 33.00 N .
9270 IMPORT PUMP DEPOSIT 33.00
323.80
TOTALRETURNS Y
0 CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number U
r
Driver�!��'�'�� Received B
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$323.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 564930 I 42-390.40 I $323.80 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 29, 2014
Director, Brookshire VVtlub
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
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/29/14 564930 Beer $323.80
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
120
Clerk-Treasurer