HomeMy WebLinkAbout245034 05/13/15 �%}4�\�. CITY OF CARMEL, INDIANA VENDOR: 359294
ti ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******593.80*
s. ,_, CARMEL, INDIANA 46032
PO BOX 2856 CHECK NUMBER: 245034
'M-__ ,:. KOKOMOIN 46904-2856 CHECK DATE: 05/13/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207
4239040 593.80 FOOD & BEVERAGES
MIS-AMERICA CITY OF CARMEL INVOICE
I BEVERAGE dba BROOKSHIRE GOLF .CLU,B
INC. i 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/14/15 603848
Dustin Smith 13 800 13
PRODUI I QUANTITY; DESCRIPTION PRICE DEPOSIT AMOUNT
•o
BASE September 29, 201.4
PROMO #0515A
mine a W342 8370
109 6� Bud 24 Lse Can .18.60 111 .60
209 a.2 Bud Lr 24 Lse Can 18.60 22-3.220
908 5 Mich Ultra 2/12 Can 20.35 104.2~
925 1 Mich Ultra 1/6 BBL 36.25 30.00 66.25
1018 1 Redbridge Lager 4/6 NR 24. 70 24.70
1537 3 -- " Stella 2/10 Pack 14.9 oz 29. 50 88. 50
V
�r
it G�
Cases 27 1/4 Barrels 1
PRO D.CODE QTY. DESCRIPTION PR16E AMOUNT ITOTAL SALE 61 e `-:)o
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT 618.50
TOTALRETURNS Y
� 2-
' O CREDITS
Cash ❑ EFT El Escrow Check Number ��/5 2-5Y
Driverr1/5/, r% Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$593.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 I 603848 I 42-390.40 I $593.80 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, May 14, 2015
Director, Broo hire Golf Club
Title
I
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))
05/14/15 603848 Beer $593.80
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