HomeMy WebLinkAbout236600 09/03/14 CITY OF CARMEL, INDIANA VENDOR: 359294
® �i ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******457.50*
:9 ,_� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 236600
9'�ro"ri�°' KOKOMO IN 46904-2856 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 457.50 FOOD & BEVERAGES
I' MIDAMERICA INVOICE
CITY OF ,
A BEVERAGE. . . . . . , :
dba BROOKSHIRE GOLF CLUB
INC. 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL: "r; IIV 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903542 E — , T t 4
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/04/14 576Ei19 Dustin Smith 13 SGO 13
. ODUCT DESCRIPTION PRICE DEPOSIT •
UNT
•.
BASE September 30, 2013
PROMO #0914A
Wine:W3428870
109 . " 10 --" Budweiser 24 Lse Can 18.30 103.00
209 15 '-- Bud Lt 24 Lse Can 18.30 274. 50
,L9_
Cases 25
"DTOTAL SALE '457 '. 50
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 457.50
RETURNS TOTAL CREDITS -110-
Y
-j�, //��J�q•� O CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number �`°' "t-�`7� U
Driver ���klf'20111 Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$457.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
!H/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 576819 I 42-390.40 I $457.50 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
Thursday September 04, 2014
Director, Brook's-e Golf 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
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/04/14 576819 Beer $457.50
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