HomeMy WebLinkAbout236290 8 /27/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECKAMOUNT: 9••""'""292.45"
CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 236290
KOKOMO IN 46904-2856 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 292.45 FOOD & BEVERAGES
MISAMERICA INVOICE
II BEVERAGE CITY OF CARMEL_
INCE dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903542 EXP. 10/.9.7/14
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATEINVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
00/28/14 576127 Dustin Smith 13 50U 13
PRODUCTI •
•. AMOUNT
BASE September 30, 2013
FFtOMO X0814
WINE:W34280-170
Pump s85/$75 Refundable
109 2 Budweiser 24. Lse Can 18.60 -37.20
209 10 '-- Bud Lt 2.4 Lse Can 18.60 186.CJ:a
61308. 1 ,-- Shock 2/12 Can 24. 10 24 . 10
1537 2-� Stella 2/10 Pack: 14,. 9 oz 24.80 49.60
7025 1. '' Goose 312 2/12 Can 25. 55 2`x. 545
I
Cases 16
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT; TOTAL SALE
322.4:1
10303 EMPTY AB 1/6 30.00 T
10304 / EMPTY AB 1/2 30.00 ��,�j;. (i` .� H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
322. 45
FtETURNS TOTAL CREDITS
® CREDITS
❑ Cash ❑ EFT ❑ Escrow 1/ Check Number H . s" j
Rue ifDriver:�/-/ f�� a Received By
i"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$292.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 576127 I 42-390.40 I $292.45 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
Thursd y, August 28, 2014
I
Director, Brookshir 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/28/14 I 576127 I Beer I $292.45
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