HomeMy WebLinkAbout234202 07/01/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******186.00*
CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 234202
KOKOMO IN 46904-2856 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 186.00 FOOD & BEVERAGES
MIWAMERICA INVOICE
OF., CARIIEL
BEVERAGE d ba CITY
BROO KSH I RE GOLF CLUB
u INC.
12120 .BR00KSI-{IRE PARKWAY
CARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856
Kokomo, IN 46904-2856 ` R '9t " EXP.
XP. :/ 4 ' / R
765-459-3117
800-362-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/03/14 569348 Dustin Smith _ 13 BOO 13
PRODUCTQUANTITY DESCRIPTION •• AMOUNT
•D
BASE September 30, 2013
F : e PRO110 #0714
I; WINE W3428970
10G 5 ~'� Budweiser 24 Lse Can 18.60 93.00
209 5 i Bud Lt 24 Lse Can 18.60 93,00
Cases 10
1110 11TOTAL`SALE 196.00
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00. N
9270, IMPORT PUMP DEPOSIT 33.00 K
186.00
RETURNS TOTAL CREDITS 00I Y
® CREDITS
❑ Cash El EFT El Escrow /LTJ Check Number :� ✓� a � U
Drivers Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$186.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 l 569348 I 42-390.40 I $186.00 1 hereby certify that the attached invoice(s), or
l 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
Monday, July 07, 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))
07/03/14 569348 Beer $186.00
1 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