HomeMy WebLinkAbout237090 09/16/14 0v`! CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******306.70*
,> CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 237090
'M�roN GO'j KOKOMO IN 46904-2856 CHECK DATE: 09/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 306.70 FOOD & BEVERAGES
MIW31MERICA INVOICE
BEVERAGE. CITY OF -.CARMEL
INC. daa BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN-, . 40032
P.O. Box 2856
Kokomo, IN 469042856
765-459-3117 RR2903542 EXP. 10/1.7/14
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/18/14 576049 Dustin Smith 13 800 13
PRODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
BASE September 30, 2013
PROMO #k0914A
Wine.-W342887o .
209 12 � Bud Lt 24 Lse -Can 18.60 223.X?
225 i Bud Lt 1/4 BBL 53. 50 30.00 93.50
Cases 12 1/4 Barrels I
DESCRIPTIONPROD.CODE QTY. TOTAL SALE 306.70
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230. PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K -
306.70
RETURNS TOTAL CREDITS Pol. y
1 CREDITS
U
F] Cash ❑ 3.00
EFT ❑ Escrow /[] Check Number . 107 f"
Driver s ��`' -� Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$306.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 576049 I 42-390.40 I $306.70 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, Se ember 18, 2014
Director, Brookshir If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
j 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))
09/18/14 576049 Beer I $306.70
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
120
Clerk-Treasurer