HomeMy WebLinkAbout234467 07/08/14 CITY OF CARMEL, INDIANA VENDOR: 359294
® j ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******189.25*
CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 234467
pMirtiri�°. KOKOMO IN 46904-2856 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 189.25 FOOD & BEVERAGES
MIMERICA , INVOICE
CITY OF. CARI`1EL
BEVERAGE
IWC.. 4' dna B�daoKSNIRE GOLF CLUB
��` 22120 BROOKSHIRE PARKWAY
Empow 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 :f1G7� JJ-tL 1. r . vi i'i=a. i r
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
0 /10/14 570054 Dustin Smith 1, Boo 1a,
PRODUCTI QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
EASE September- 30, 2013
PROMO ##0714
WINE W3428870
109 3 Budweiser 2A. Lse Can 18.60 55.84
209 6 '__ Bud Lt 24 Lse Can 18.60 111 .60
472 1 MangoRita 8 OZ 2/12 Can 21 .85 21 .85
Cases 10
QTY. DESCRIPTION PRICE AMOUNT TAL SALE 189.25
10303 EMPTY AB 1/6 30.00 7A7-10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00
9230 PUMP DEPOSIT - 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
1F39.:G5
TOTALRETURNS CREDITSYZZ�l 1 O CREDITS
[:1 Cash ❑ EFT ❑ EscrowCheck Number
Driver-, // �'
__ _ � . v Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$189.25
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 570054 I 42-390.40 I $189.25 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
Thurs ay, July 10, 2014
�J
Director, Brookshi 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))
07/10/14 I 570054 I Beer I $189.25
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