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Home My WebLink About233157 06/04/14 (9, CITY OF CARMEL, INDIANA VENDOR: 359294 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*****1,189.45* CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 233157 KOKOMO IN 46904-2856 CHECK DATE: 06/04/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 1,189.45 FOOD & BEVERAGES Iii MIMAME ICA INVOICE BEVERAGE CITY O,F :CARMEL 1 dba BROOKSHIRE GOLF CLL1'6 ' INC. 12120 BP,OOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 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 06/05/14 565871 Dustin Smith 13 800 13 PRODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT •. BASE Sepember 30, 2013 PROMO #0614 Wines W3428870 109 10 -', Budweiser 24 Lse Can 16.30 163,00 209 30 / Bud Lt 24 Lse Can . 18,30 549.00 408 3 B Lt Lime 2/12 Can 21. .60 64.80 909 _1.0." Mich Ultra 24 . Lse Can 19.20 192.00 1537 5 / Stella 2/10 Pack 1-4.9 oz - 24.90 124.00 f r 1 Cases 58 PROD.CODE •TY DESCRIPTION PRICE AMOUNT TOTAL SALE 1 , 112.fl0 10303 EMPTY AB 1/6 30.00 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 K 1 , 112.80 RETURNS TOTAL CREDITS 001- Y 6_1Check O CREDITL1Cash ElEFT ❑ Escrow Number 2 U 90 Driver ;;O�/g'/ Received B VOUCHER NO. WARRANT NO. ALLOWED 20 Mid America Beverage Inc. IN SUM OF $ P.O. Box 2856 Kokomo, IN 46904-2856 $1,112.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 42-390.40 1 hereby certify that the attached invoice(s), or 1207 565871 42-390.40 $1,112.80 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, June 06, 2014 / U41 Director, BrookAire Golf Club Title i Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) We have a credit for$76.65 06/05/14 565871 Beer $1,112.80 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 11111WANIERICA INVOICE I BEVERAGE t,.., CITY OF CARMEL . INC. dba BROO.KSHIRE GOLF CLUB 12120 BOOOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 -k-wsiff-k . P.O. Box 2856 W02,04° Kokomo, IN 46904-2856 KR2Y06i42 LXH. 07/16/14 765-459-3117 • . - 800-382-0675 Fax: 765-457-7967 BEER W3409212 • . .,_• INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER; 06/18/14 567679 Dustin Smith 13 Boo 413-;,_ ■ PRODUCT DESCRIPTION . PRICE DEPOSIT ' ' - . •AMOUNT' BASE Sepember 30, 2013 PROMO #0614 Wine: W3428870 7025 1 Goose 312 2/12 Can 25. 55 25. 551 1 , 1 ' . i . , . , .. ...7 1 1 71 . , Cases 1 1 ' PROD CODE QTY. - - . DESCRIPTION ' 1 '' PRICE AMOUNT TOTAL SALE 25. 55 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 9230 PUMP DEPOSIT 33.00 9270 • IMPORT PUMP DEPOSIT 33.00 - 25.55 ' - ' RETURNS- 1 TOTAL CREDITS . 0 CREDITS U $, Driver : . :::. 4-..-.i' ...,t2;_ 111 Cash D EFT 10 Escrow 0 Check Number - TOTAL DUE ,,Z -.55-' Received ') , .. . Received By 71/ ' � / ' ' R��U��U� r�� I0�m��. � � ' ' i / ` "^` ~ ~°.~°~~ ��N��1x'5~r'*�m�� CI7Y OF �ARMEL � . //' dba BROOKSHIRE GOLF CLUB I i(4-.C 12120 BROOKSHIRE PAR,k WAY CARMEL IN 46032 =~- 2755 Commerce Dr �~ P.O. Box 2856 Kokomo, IN 46904-2856 :7-;F-7I9,-Y:3342 EXP . 07/13/1,; 765-459'3117 800-38e'0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 06/05/14 565871 Dustin Smith 13 800 13 BASE Sepember 30 . 2013 ' PROMO #0614 Wine: W3428970 109 10 '~^ Budweiser 24 Lse Can 18.30 183.0 i 209 30 "~ Bud Lt 24 Lse Can 18.30 549.0 400 3 '-- B Lt Lime 2/12 Can 21 .60 64 .8 909 10 c_- .0 192 Mich Ultra 24 Lse Can ' 19.20 1337 5 ~�~ tel la 2/10 Pack 14 .9 oz 24.90 124 ,0 l� J`�/ , �^ '` /y�/� / ' 1/ f? / // . / . - ~~ Cases 58 1 1l2.E TOTAL SALE , ' 18303 EMPTY AB 1/6 30.00 T 10304 ' EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A � 9280 PUMP DEPOSIT , ` 33.00 N 9270 IMPORT PUMP DEPOSIT 33.00 K 1 , 112.E ` -~-~��,~-- ~~� ~~ ~~ -~ -~' ~^� ~� CREDITS � — Cash — EFT — Escrow Check Number - /-~/ / � Of /�/^f/�� I /' \ Driver �r /��li,-/ Received By • VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Mid America Beverage Inc. IN SUM OF $ CITY OF CARMEL P.O. Box 2856 An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Kokomo, IN 46904-2856 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $0.00 Payee Purchase Order No. • ON ACCOUNT OF APPROPRIATION FOR Terms Brookshire Golf Club Date Due Invoice Invoice Description Amount PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 1207 CK 233157 42-390.40 I ($76.65) I hereby certify that the attached invoice(s), or 06/04/14 CK 233157 Beer ($76.65) 1207 566932 42-390.40 $51.10 1 06/12/14 566932 Beer $51.10 bill(s) is (are) true and correct and that the 1207 I 567679 I 42-390.40 I $25.55 materials or services itemized thereon for 06/18/14 I 567679 I Beer I $25.55 which charge is made were ordered and received except • Thursday, June 19, 2014 c od Di rector, Brookshiolf Club Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 , 20 Clerk-Treasurer MINIERICA INVOICE BEVERAGE ' CITY OF CARMEL ' dba BROOKSHIRE GOLF CLUB INC. 12120 BROOKSHIRE PARKWAY 120705 . Bo5.C .Dr. CARMEL I N 46032 x 2856 ommerce Kokomo, IN 46904-2856 HI-CZLIO6 D 4 2 LAN. U/i 1.5/ 14 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ti ROUTE 06/18/14 567679 Dustin Smith 13 800 --.,:` 113 PRODUCT QUANTITY I DESCRIPTION. PRICE DEPOSIT AMOUNT CODE BASE Sepember 30, 2013 PROMO #0614 Wine: W3428870 I 7025 1 Goose 312 2/12 Can 25. 55 25. 55 f/- _._._-----c---7- Cases 1 PROD.CODE 1 QTY. I DESCRIPTION PRICE AMOUNT TOTAL SALE 25" 55 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 K 25. 55 RETURNS TOTAL CREDITS pip. y o CREDITS ❑ Cash ❑ EFT ❑ Escrow ❑ Check Number TOTAL DUE 5 ST f Driver ��1 f/,/�/v! Received By �---��`:ai r%! �./1 --+—J r r / ' 6. Y . MIIMMNIERICA - INVOICE BEVERAGE CITY OF CARMEL INC. dba BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY Y 2755 Commerce Dr. CARMEL IN 40032 P.O. Box 2856 Kokomo, IN 46904-2856 RR290:5b42 I�.XH. (..)// 1-5/ 1L} 765-459-3117 800-382-0675 Fax: 765-457-7967 - BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 06/12/14 566932 Dustin Smith 13 1 900 I CODE 13 PRODUCT I QUANTITY I DESCRIPTION PRICE [ DEPOSIT I 1 AMOUNT BASE Sepember 30, 2013 PROMO #0614 . Wine: W3429870 7025 2 Goose 312 2/12 Can 25. 55 51 . 10 • `J ---/ ) r i- 79 / / — • 1 °4 � .Ut'.a ' / /771A,- 7 Di/7 Z' ( ±1._________________,/r— --- Cases 2 . PROD.CODE I QTY. I DESCRIPTION I PRICE I AMOUNT TOTAL SALE 51 . 10 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 K • 51 . 10 RETURNS TOTAL CREDITS • Y 0 CREDITS ❑ Cash ❑ EFT ❑ Escrow ❑ Check Number U TOTAL DUE ) ,9 /.∎-<//�1a I, Driver - / Received By 0' / $��' MI NIERICA r INVOICE BEVERAGE . • CITY OF CARMEL ' I• dba BROOKEi1-1I RE GOLF CLUB' INC.. 12120 BROOKSHIRE PARKWAY. 2755 Commerce Dr. CARMEL I N 46032 P.O. Box 2856 . Kokomo, IN 46904-2856 RR2903342 F X; . 07/13/14 765-459-3117 • 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE • INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE .. 06/05/14 565871.. Dust:in Smith 13 800 13 • RODUCT QUANTITY I DESCRIPTION ° PRICE .DEPOSIT AMOUNT CODE BASE Sepember 30,2013 - PROMO #0614 • Wine: W3428870 109 10 .- Budweiser 24 Lse Can 18.30 183.0 209 30 '"� Bud Lt 24 Lse Can 18.30 549.0 408 3 '..- _ B Lt Lime 2/12 Can 21 .60 64.8 ' 909 . . '10 Mich Ultra 24. Lse Can 19.20 192.:0 1537 5 . • .Stella 2/10 Pack 14.9 Oz 24.80 124.0 • is T .•fi "• .--• ," • ,--- -".7 / ,/,'.- L..... . 40-_----g-- • t..._ . .. . ,,,- ---- : . • Cases 58 PROD.CODE I QTY. I DESCRIPTION PRICE. AMOUNT TOTAL SALE . E 10303 EMPTY AB 1/6 30.00 T • 10304 EMPTY AB 1/2 30.00 . H 10405 EMPTY AB 1/4 30.00 A • 9230 • _. . PUMP.DEPOSIT. .. . 33.00. N 9270 IMPORT PUMP DEPOSIT 33.00 K 1 ,112.E RETURNS - TOTAL CREDITS , Y _ • CREDITS,'P Cash ❑ EFT ❑ Escrow l 9Check Number _�_!,�--/ . . 0 TOTAL DUE --`77 5Z � �i A�fd Driver � Received By • VOUCHER NO. WARRANT NO. ALLOWED 20 Mid America Beverage Inc. IN SUM OF$ P.O. Box 2856 - Kokomo, IN 46904-2856 $0.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 CK 233157 42-390.40 . ($76.65) I hereby certify that the attached invoice(s), or 1207 566932 42-390.40 $51.10 bill(s) is (are)true and correct and that the 1207 I 567679 I 42-390.40 I $25.55 materials or services itemized thereon for � . which charge is made were ordered and received except Thursday, June 19, 2014 Director, Brookshire. olf 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)) 06/04/14 CK 233157 Beer ($76.65) 06/12/14 566932 Beer $51.10 06/18/14 567679 I Beer I $25.55 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