HomeMy WebLinkAbout244414 4 /21/2015 1y�'..Q�yyf .
CITY OF CARMEL, INDIANA VENDOR: 359294
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ONE CIVIC SQUARE MID AMERICA BEVERAGE INC .CHECK AMOUNT: $"•*"*250.60'
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CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 244414
9.y�roN. KOKOMOIN 46904-2856 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 250.60 FOOD & BEVERAGES
MIWAMERICA INVOICE
BEVERAGE CITY CARMEL
dba BROROOKSH51-EIRE GOLF CLIME; '
INCE
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICEDATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/23/15 601176 Dustin Smith 13 800 13
•.
I DEPOSIT AMOUNT
UANTITY DESCRIPTION - PRICE
BASE September 249 201.4
PROMO 40415
WINE=:W3428870
10? 4 -- Bud 24 Lse Can 18.60 74.47
LC) i 4 -- Bud Lt 24 Lse Can 19.1-10 74.40
925 1 '' Mich Ultra 1/6 BBL 36.25 30.00 66.25
472 3 MangoRita S OZ 2/12 Can 21 .55 65. 55
Cases 11 1/4 'Barrels 1
PROD.CODE QTY. DESCRIPTION PRICE AMOUNTTOTAL SALE 280`60
10303 EMPTY AB 1/6 30.00 ��r 001
11
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 280.60
TOTALRETURNS - ��G� Y CREDITS
❑ Cash ❑ EFT ❑ Escrow XCheck Number A� /� UTOTAL DUE
/ I
Driver zl&z1-iz42A Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$250.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 601176 I 42-390.40 I $250.60 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, April 23, 2015
Director, Brooks a 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))
04/23/15 601176 Beer $250.60
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
