HomeMy WebLinkAbout244632 04/29/15 1 er_.4Agy
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******365.20*
d ,Q CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 244632
tM�rtiN-4o KOKOMO IN 46904-2856 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 365.20 FOOD & BEVERAGES
MIMERICA INVOICE
BEWRAGE CITY OF CARMEL
dba BROOKSHIRE GOLF ,.C.LUB
INC■ : ;� 1.2120 BROOKSHIRE PAO." WAY
CARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856
Kokomo, IN 46904-2856 RR2 .` v ;2 `- 'r'. '.'
765-459-3117
800-382-0675
Fax: 765-457-7967 rt
r
BEER W3409212 ,
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE.
04/30/15 602085 Dustin Smith 1.3 BOG 13
PRODU�� . • DEPOSIT AMOUNT
BASE September 29., 2014
PROMO #0415
WINE:W34 28870
109 5 e� Bud 24 Lse Can 18.60 93.00
209 6i Bud Lt 24 Lse Can 1.8.60 111 .60
1528 1-•' Shock Lemon 2/12 Can 24. 10 24.1C>
908 2 -- Mich Uitra 2/12 Can 20.85 41 .70
472 2` MangoRi to 8 O7- 2/12 Can 21 .85 43.70
7025 2 / Goose 312 2/12 Can 25. 55 51 . 10
I
Cases 18
- " DESCRIPTIONTOTAL SALE 365.2.0
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 365.20
TOTALCREDITSJON- Y
�� u CREDITS
El Cash ❑ EFT El Escrow Check Number • fit/
Driver Received Received By
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$365.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1207 I 602085 I 42-390.40 I $365.20 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 30, 2015
Director, Brookshire WClub
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))
04/30/15 602085 Beer $365.20
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