HomeMy WebLinkAbout233940 06/25/14 +�t-CAq�
/ CITY OF CARMEL, INDIANA VENDOR: 359294
® ii ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******168.00*
s.. �Q; CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 233940
9M��roN�p� KOKOMO IN 46904-2856 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 168.00 FOOD & BEVERAGES
MIWANIERICA INVOICE
BEVERAGE CITY OF CARMEL
INCE
ba BROOK SH I RE GOLF CLUB
■ 12120 BROOKSHIRE: PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856 t,
Kokomo, IN 46904-2856 n'-2 0,--,5, t G n F- . v i i i.�
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/25/14 568396 Dustin Smith 13 000 13.
PRODUCT I QUANTITY DESCRIPTION PRICE DE T AMOUNT
•.
BASE Sepemder 30, 2013
PROMO ; 061.4
Wine: W3428e70
199 3 Budweiser 24 Lse Can 18.60 55.SC
209 5 Bud Lt 24 Lse Can 18.60 93.00
423 1 Lime A Rita 8 oz 2/12 CN 21 .85 21 .05
LC
Cases 9 l/
PRODDESCRIPTION TOTAL SALE 170.65
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
-9270 IMPORT PUMP DEPOSIT 33.00
2?U-65
RETURNS TOTAL CREDITS 10- Y
;-
® CREDITS
❑ Cash ❑ EFT ❑ Escrow t` Check Number Z/�- U
Driver �r,2/ r' iv1
Received By
gyp,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$170.65
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLEAMOUNT Board Members
1207 42-390.40 1 hereby certify that the attached invoice(s), or
1207 568396 42-390.40 $170.65 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
Wednesday, June 25, 2014
j
Director, Brooklffiye Golf Club
Title
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))
$2.65 from Petty Cash
06/25/14 568396 Beer $170.65
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