HomeMy WebLinkAbout233668 06/18/14 CITY OF CARMEL, INDIANA VENDOR: 359294
i• ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $******"158.20•
CARMEL, INDIANA 46032 Po box 2856 CHECK NUMBER: 233668
KOKOMO IN 46904-2856 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 158.20 FOOD & BEVERAGES
MIMERICA INVOICE
BEVERAGE CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
INCE 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 4-6032
P.O. Box 2856
Kokomo, IN 46904-2856 R R Y v 3-5 4.2- E X r. iD iii_.S j.-Y
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/1 '/14 567526 Dustin Smith 13 SOO 13
CO00
D DESCRIPTION
- I: u
BASF_ Se"Member 30, 201.3
PROMO ,40614•
Wine-/ W342BE170
250 1 Bug/ L t 1/2 BELL 86.00 30.00 116.00
1516 2 '' Shock Lemon 16 Oz 6/4 CN 22. 10 44.20,
,r'f
I
1
Cases 2 1/2 Barrels 1
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT160•", �
TOTAL SALE
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY-AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
- 9270 IMPORT PUMP DEPOSIT 33.00 K
160.20
CREDITSRETURNS TOTAL Y
��j
-'-9-1) 1 O CREDITS
F] Cash ❑ EFT ❑ EscrowCheck Number ��,' `� � U
Driver _�/'� Received By CM,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$160.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
r
1207 42-390.40 j I hereby certify that the attached invoice(s), or
1207 567526 42-390.40 $160.20 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, June 19, 2014
Director, Brookshire f 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))
CK#233668 for 158.20&$2.00 from Petty Cash
06/19/14 567526 Beer $160.20
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