HomeMy WebLinkAbout234959 07/16/14 CITY OF CARMEL, INDIANA VENDOR: 364942
'i ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $..... 220.44•
=Q CARMEL, INDIANA 46032 PO BOX 1602 CHECK NUMBER: 234959
gMfGtiri-�o� INDIANAPOLIS IN 46206 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1696252 220.44 FOOD & BEVERAGES
�1�IIIlIIlIII III II I III �- a , � ,o, _ - R _. �II�IIIII i IIII IIIfI III
S BROOKSHIRE GOLF CLUE{ :� � 11 EP U al LI C N flTl 0 N fl L
!�% t`�"7 23 CUSTOMER N0. CUSTOMER P.O.NUMBER INVOICE NUMBER
CItY OF CARMEL - DISTRIBUTING COMPRNY IN INVOICE 7916 1696252
D 12120 BROOKSHI kE �kWY ORDER N0. PERMIT/LICENSE N0. TYPE INVOICE DATE
T 700 ,W. Morris Street 29-03542 ALL 07/10/14
0 CARMEL IN 46032 INDIANAPOLIS, IN 46225-1447 ROUTE STOP EXPIRATION DATE TERMS 1
(3i7).-291-9042 (317)-636-48(30 610 014 07/13/14 14E'T 1S DAYS
SPECIAL INSTRUCTIONS: i STATE PERMIT U49-09133 SHIPMENT NO. V.NO.SALES NO.DIV.NO.SALES NO.DIV.NO.SALES N0. DIV.NO.SALES NO.
28547 13213 12'13 1:321;3 12213
DELIVERY NOTES VENDOR ID NUMBER INVOICE TYPE DUE DATE• =s
voice
PRINTED 2014 07 49 SIE 15':4,: 26
ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT NET BOTTLE
'BULK LOC. -UPC °y" VINTAGE, RC 2. RETURN, �'.,flETURN � PRICE .DEAI UNIT COST COST NET PRICE
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:p 73433 RA02 BACARDI SUPERIOR 1. 0L 12 1 19. 71 19. 71 19. 71 19. 71
0`90 Of ata
340043 RA03 . GREY GOOSE VOD14A I. 0L' 6 3 W. 17 38. 17 38. 17 ' ,' 114. 5.1
5413 RA3.2 JACK DANIELS BLK 1. 0L 12� ' 2 32. 92 � 332. 92 32. 92 � 65. b4
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&x020 R£��13 .__JIM EsEAi f3 1 OL 12 1 20. 38 20. 35 20. 38 20`.38•
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LITERS
GALL019AGE EFRFEURN CODES: A-Out of Stock
LIQUOR LITERS;/GALS. WINE LITERS/GALS. BEER LITERS/GALS. B-Picking Error
0-Did not order C-Too Eadylfoo late
2-Pricing Error D-Dama ed on Truck
1 3-Out of Business E-No Money 7,a
4-Duplicate F-Office Cancel 2r_0. 44
6-Won't scan or not authorized
HIGH H DefecWe CHECK N
IN LITERS GAL. LO I E ITE GALS. SPARKLING G LITERS GALS. J-hod T
ACCEPTED v ���� ,,,yG
RECEIVED BY^' CHECK AMOUNT
I,as the licensee,agent of this licensee,or employe thereof of the business accept the merchandise
shown on the Invoice and car;that to the pest f my knowledge there has been no change In F'6{SG7= 1
ownership of,this:business�withoutlnotificatio a State Alcohol Board'and is the holder of an DATE: TIME:
effective permit/license.T6ere;will;be'.a$50 service charge for any dishonored check.We are not � �
' • • responsible forbreakage•.loss„'or,.damage to merchandise after delivery or acceptance by —7- 0 �„�.
• • •• Commas Carper:
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF $
P.O. Box 1602
Indianapolis, IN 46206
$220.44
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1696252 I 42-390.40 I $220.44 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
Friday, July 11, 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))
07/10/14 1696252 Liquor $220.44
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