HomeMy WebLinkAbout233338 06/04/14 4y d.i�gyf
>, CITY OF CARMEL, INDIANA VENDOR: 364942
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $.....**257.99*
=q CARMEL, INDIANA 46032 PO BOX 1602 CHECK NUMBER: 233338
INDIANAPOLIS IN 46206 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1659440 257.99 FOOD & BEVERAGES
REPUBLIC � .� IILI11 l�li l1!� 14 Illi Ili
S �R�a� ��4�>= GOLD JL4; ,a, 3�J � �OMERNO. CUSTOMER P.O.NUMBER INVOICE NUMBER
�- } rCITY OF� CARMEL DISTRIBUTING CUMPBNV LLC :Ehi'rOICE. 16r,9440 �
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D 12120 �-RQOKSH£RE P44WY ORDER NO. PERMIT/LICENSE NO. TYPE INVOICE DATE
7001J. 1°larris 'Street IRR29-03542' ALL 05/29/14
0 CARMEL IN 46032 INDIANAPOLIS, IN 4622571447 ROUTE STOP EXPIRATION DAT TERMS
(317)-291-9042 (317) -63614880 620 006 07/13/14 NET 1S DAYS
f SPECIAL INSTRUCTIONS: STATE 4�ER1�f T �a 9—a913u SHIPMENT NO. DIV.NO.SALES NO.DIV.NO.SALES NO.DIV.N0.SALES N0. DIV.N0.SALES NO.
1 13213 42213 13213 12213
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1 DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE
Invoice 06/IV1.4 � {
f i .4�RIhfTEU 2014 OS• 28 �. 20:18:06 1
t ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT NET BOTTLE
UNIT COST NET PRICE
BULK LOG ` u • ,IUPC ,,VINTAGE RCS„4:RETURNRETt1RN a' PRICE `'DEAL# COST,
340043 RA03 OrEY•GOOSE VODKA 1. 0L 6 .4 37. 6.7 �7- 67 S7. 67 iso.6a
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RETURN CODES: A-Out of Stock
LIQUOR LITERS/GALS. WINE LITERS/GALS. BEER LITERS/GALS. B-Picking Error
0-Did not order I C-Too EadyRoo Late IB
Error D-Damaged on Truck
3-Out of Business E-No Money • X757 99
4-Duprole F-OfBceCancel
HI INE LITERS' INE ITER GA R I ITE Won't scan or not aulhor¢ed 14-Defective CHECK#
JI-Shan on Truck
i ACCEPTED
/� Yidud""sz�.u'r �,4. .tea `s
RECEIVED BY CHECK AMOUNT
I,as the licensee,agent of this licensee,or em toy a thereof of the business accept the merchandise
shown on the Invoice and certify that to the of.my knowledge there has been no change in RAGE 1
ownership of this business without notification to the State Alcohol Board and is the holder of an- DATE: TIME:
_ effective peonittlicense.There will be a$50 service charge to". ydishonored check.We are not
• • resporusible for breakage, loss,,or damage to merchandise.after,.delivery or'acceptance by
A• • • ••1 Common Carrier. I'
;k ',S DRIVER SIGNATURE ..
,I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF$
P.O. Box 1602
Indianapolis, IN 46206
$257.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1659440 I 42-390.40 I $257.99 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 If 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))
05/29/14 1659440 Wine and Spirits $257.99
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