HomeMy WebLinkAbout237173 09/16/14 `+°�`'"*F CITY OF CARMEL, INDIANA VENDOR: 364942
;; ® ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $......**331.15*
_�; CARMEL, INDIANA 46032 PO Box 1602 CHECK NUMBER: 237173
+,;To�.�o:` INDIANAPOLIS IN 46206 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1749591 331.15 FOOD & BEVERAGES
S BROOKSHIRE GOLF CLUB fl P U B LI C N flTl 0 N fl E 32
0 LMIU1 ,
CUSTOMER N0. CUSTOMER P.O.NUMBER INVOICE NUMBER
L ��TY ��� ���` � �. STRIBUTING CUMPRNY «C INVOICE 791f� 17�$9_r 1
D 12120 BROOKSHIRE P14LIY
ORDER N0. PERMIT/LICENSE N0. TYPE I INVOICE DATE
T 700 W. Moi ris Streat PR29-0;3-542 ALL G9/11/14
CARMEL IN 46032 5:NDI(411 PGLl'S, IN 44225--1447
O ROUTE STOP EXPIRATION DATE TERMS
{3177-291--9042 (35.7)-636-•4880 610 006 10/13/14 NET 1E, DAYS
STATE PERMIT U49-0913:3
SPECIAL INSTRUCTIONS: SHIPMENT NO. DIV.NO.SALES NO.DIV.NO.SALES NO.DIV.NO.SALES N0. DIV.NO.SALES NO.
30x36 13213 1.2213 'It 3213 12213
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE'
I
IT1vaice 09t2 14
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:r f>RIN T ED 2014 09 10 ** 19: 15: 29
ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT NET BOTTLE
BULK LOC. UPC VINTAGE RC RETURN RETURN PRICE DEAL# UNIT COST COST NET PRICE
7:3433 RA-02 BAL"'ARDI SUPERIOR 1. 0L 12 1. 19. 71 19. 71 19. 71 19. 71.
340043`- I�A43 UREl" 600SE VODKA 1. 0L _._ 6 4__�.. ,38. 11 3i3. 1! 3T.l 7 JL. 66 I,
5413 RA ;2 JACK DANIELS IEL.S BILKS 3 . C3C 12 E/2 -J3 J- Y2 '32. Y? 61-1. b4
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4m?o 1;1;4;3 J1.11 1.t'=AM 80 1. 0L 12 1 it 38 20. 38 dQ, ;jt3 iJ-Q, 6
4�i t prK 3.. - ._ I t4 -f'lr 27 E� ,.
�t:�Y;3 E'!P,[4iWhS I`Jf$4�${ �4 ,,.� � � , 3. VL 12 2 ,��5. P �'�. . 2l 1�..' 4
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LITERS GALLONAGE RETURN CODES: A-0ut of Stock
LIQUOR LITERS/GALS. WINE LITERS!GALS. BEER LITERS/GALS. 0-Did not order
Error
er C-Too Eady/roo Late 1
2-Pricing Error Damaged on Truck
F i 3-Out of Business E-No Money ,
• 4-Duplicate F-Office Cancel 1• �•
6-Won't scan or not aNhodzed H-Detective
HIG I LITER ALS. LO INE LITER SPAR LIN LITERS S. ShQ�dyon(�Tmck CHECK#
ACCEPTED
RECEIVED BY CHECK AMOUNT
I,as the licensee,agent of this licensee,or eb�loyee thereof of the business accept the merchandise
shown on the invoice and certify that to the est of my'knowledge there,has been no change in PAGE 1
ownership of this business without notification to the State Alcohol Board.and is the holder of an DATE: TIME:
� � � effective permit/license.There will be a$50 service charge for an •djshodored check.We are not
', , ,,, responsible for breakage, loss, or damage to merchandise ager'8elivery or acceptance by
Common Carder.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF$
P.O. Box 1602
Indianapolis, IN 46206
$331.15
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 1749591 I 42-390.40 I $331.15 I 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
Friday, September 12, 2014
Director, Brookshire yolf 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))
09/11/14 1749591 Wine and Spirits $331.15
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