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HomeMy WebLinkAbout236214 08/19/14 +ui..FAgy CITY OF CARMEL, INDIANA VENDOR: 359294 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******612.15* CARMEL, INDIANA 46032 Po BOX 2856 CHECK NUMBER: 236214 'ytrori�° KOKOMO IN 46904-2856 CHECK DATE: 08/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 612.15 FOOD & BEVERAGES MIWAMERICA INVOICE BEVERAGE CITY OF CARMEL INC. dba BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 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 07/31/14 572559 Dustin Smith 13 BOO 13 ,q• c APPROVED BY THE STATE BOARD DF ACCOUNTS fOR TME CITY OF CARMEL 2002 ,:CHECKNO. j GkTY OF CARMEL; ItvQtAtva P�YABLEA7 �,-859 235319 s ONE CIVIC SQUARE': FIFTH THIRD BANK CARMEL,.INDIANA 46032 INDIANAPouS;INDIANA 749 DATE:07/30/14 I GENERAL ACCOUNT, AMOUNT- L a ;/ $****• **416.60 ' PAY THE SUM ;OF FOUR HUNDRED< SIXTEEN DOLLARS & 60 CENTjS, j I y THIS WARRANT IS VOID TWO(2)YEARS AFTER } f EMBER EC 31 OF T.HE YEA D R OF ISSUE •I i . TO MID AMERICA BEVERAGE ;THE "ORDER '. P© BOK 2'856 ,. �, � , - EAU et t Zj OF KOKOMO IN 46904=2856 - . z ; Ill 2353190 i:074908594i: . 999111931, 2 ?Ill I� _a Cases 20 PROD.CODE QTY. DESCRIPTION PRICE AMOUNT AL SALE 371 .$51 10303 EMPTY AB 1/6 30.00 7A7-10304 EMPTY AB 1/2 30.00 10405 EMPTY AB 1/4 30.00 10301 EMPTY CROWN 1/4 BBL 30.00 N 9230 PUMP DEPOSIT 9270 IMPORT PUMP DEPOSIT 371 .85 -TURNS: 7 -RE TOTAL CRE61TSjlli�, ® CREDITS ❑ Cash ❑ EFT ❑ Escrow Check Number Driver 4K4=141 Received By I MIWAMERICA INVOICE . BEVERAGECITY OF CARMEL INCE. d bay BROOKSH I RE GOLF CLUB 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL I N 46032 P.O. Box 2856 Kokomo, IN 46904-2856 RR290354-2 EXP. 10117114 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 08/21/14 575207 Dustin Smith k 13 Goo 13 PRODUCT QUANTITY DESCRIPTION PRICE DEPOSI •. BASE September 30 2013 PROM #0814 VJINE4W3428870 Pump $85/$75 Refundable 10f1, 4 Budweiser 24 Lse Can 18.30 73.20 209 12 ---' Bud Lt 24 Lse Can 18.30 219.60 250 . 1 '"� Bud Lt 1/2 BBL 86.00 30.00 116.00 408 1 i B Lt Lime 2/12 Can 21 .60 21 .60 61399:' 2 Shock 16 oz . 6/4 C!V 22. 10 44.20 9.09Mich Ultra 24 Lse Can 1.9.20 3e.40 48 ;..1 Lime A Rita 8 oz 2/12 .CN 21 .60 21. .60 MangoRita 8 OZ 2/12 Can 21 .60 21 .60 15377 .,-.._ 2 ''� Stella 2/10 Pack 14.9 oz 24.80 49.60 7025' . 2 ✓ Goose .312 2/1.2 Can 25. 55 51 . 10 Cases 27 1/2 Barrels 1 --•. •. • DESCRIPTION PRICE AM• 656.90 TOTAL SALE 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 9230 PUMP DEPOSIT 33.00 N 9270 IMPORT PUMP DEPOSIT 33.00 K 656.90 RETURNS , Y _ CREDITS ❑ Cash ❑ EFT ❑ Escrow �Check Number Driver a Received By VOUCHER NO. WARRANT NO. ALLOWED 20 Mid America Beverage Inc. IN SUM OF$ P.O. Box 2856 Kokomo, IN 46904-2856 $612.15 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLEAMOUNT Board Members 1207 572559 42-390.40 ($44.75) 1 hereby certify that the attached invoice(s), or 1207 575207 42-390.40 $656.90 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, August 21, 2014 Director, Brookshire GU46b 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)) 07/31/14 572559 Beer Credit Ck 235319 ($44.75) 08/21/14 575207 Beer $656.90 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