HomeMy WebLinkAbout235539 08/06/14 or.C44M_
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*--303.60"
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 235539
KOKOMO IN 46904-2856 CHECK DATE: 08/06/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 303.60 FOOD & BEVERAGES
I
INVOICE
MIMAMEMCA . . . . ..
BEVERAGE CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
INC. rP 12120 BROOKSHIRE PARKWAY
2755 Commerce 6'r.1 'if CARMEL IN 46032 .
•.•�,
P.O. Box 2856
Kokomo, IN 469042856 RR2903542 EXP. 10/17/14
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/07/14 573480 Dustin Smith 13 800 13
DESCRIPTION
•e
BASE September 30, 2013
PROMO #0814
WINE:W3428870
II
Pump $85/$75' Refundable
108 6Budweiser 2/12 Can 17. 10 102.60
208 8 Bud Lt 2/12 Can 17. 10 136.80
8308 1 r Shock 2/12 Can 24. 10 24. 10
908 2 Mich Ultra 2/12 Can 20.05 40. 10
y
i
Cases 17
•-" • • TOTAL SALE 303.60
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT K
9270 IMPORT PUMP DEPOSIT 303.60
RETURNS TOTAL CREDITS 10- Y
�- CREDITS
0
❑ Cash El EFT ❑ EscrowCheck Number U
i
Driver �� Received By
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
,hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/07/14 573480 Beer $303.60
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
pith IC 5-11-10-1.6
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO. F
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
:1.0. Box 2856
Kokomo, IN 46904-2856
$303.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
'O#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 573480 I 42-390.40 I $303.60 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
Sunday, August 10, 2014
i
Director, Brookshire olf Club
Title
Cost distribution ledger classification if I
claim paid motor vehicle highway fund