HomeMy WebLinkAbout2:3bji 07/30/14 V/ i(
CITY OF CARMEL, INDIANA VENDOR: 359294
® 1 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: S""""`416.60"
:. ?4 CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 235319
�,,,__oN,�� KOKOMO IN 46904-2656 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 416.60 FOOD & BEVERAGES
MIWAMI RICA INVOICE
BEVERAGE- ' ` ' CITY OF - CARMEL
1�■��- dba BROOKSHIRE GOLF CLUB
�■ 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. r CARMEL IN 46032
P.O. Box 2856
Kokomo, IN;4890.4-2856
765-459-3117 RR2903542 EXP. 10/17/14
'
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/31/14 572559 Dustin Smith 13 800 13
DESCRIPTION
BASE September 30, 2013
PROMO 1#0714
WINE W3428870
a
108 6 Budweiser 2/12 Can 17. 10 102.60
208 10 '---- Bud Lt 2/12 Can 17. 10 171 .00
408 1 B Lt Lime 2/12 Can 21 .60 21 .60
7025 3 Goose 312 2/12 Can 25. 55 76.65
�D
� D
D
D
Cases 20
• °' • • TOTAL SALE 371 ,85
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
371 .85
RETURNS TOTAL CREDITS POO- Y CREDITS
El
El EFT El Escrow Check Number U �
Driver Received By = °>
� 1 f
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))
There is a credit remaining of$44.75
07/31/14 572559 Beer $371.85
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$371.85
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I I 42-390.40 I I hereby certify that the attached invoice(s), or
1207 572559 42-390.40 $371.85 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, July 31, 2014
Director, BrookshirEQY/1f Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund