HomeMy WebLinkAbout245718 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 359294
(9,
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******808.20*
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 245718
KOKOMO IN 46904-2856 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 808.20 FOOD & BEVERAGES
MIWAMERICA INVOICE
1311MRAGE. . . . CITY OF- CARMEL
INC. dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 1-(t-(2-V tJ SD4 2 1=:X1 / 1._5/ 1Z
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/04/15 606505 Dustin Smith 13 800 13
PRODUCTI QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT,
..
BASE Sepember 29, 2014
PROMO #0615
Wine: 4/3428870
109 10''- Bud 24 Lse Can 18. 50 185.00
209 15 -- Bud Lt 2.4 Lse Can 18. 50 277. 5C)
225 1 — Bud Lt 1/4 BBL 53. 50 30.00 83. 50
40E3 2 B Lt Lime 2/12 Can 21 .60 43.20
1528 2 ---- Shock Lemon 2/12 Can 21 .60 43.20
908 2 —' Mich Ultra 2/12 Can 20.75 41 .5+
7113 1/ Goose Urban Pale 4/6 LN 26.80 26.80
1537 3 Stella 2/10 Pack 14.9 oz 28.80 96.40
7025 2 1 Goose 312 2/12 Can 25. 55 51 . 10
i
Cases 37 1/4 Barrels 1
-OD�CODE DESCRIPTION PRICE AMOUNT TOTAL SALE838.20
10303 EMPTY AB 1/6 . 30.00 7A -
10301
10304 EMPTY AB 1/2 30.00 10405 EMPTY AB 1/4 30.00 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT K
9270 IMPORT PUMP DEPOSIT 638.20
RETURNS TOTAL CREDITSa� Y
O CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number �G 71 U
•
rr
Driver // Z 2�' Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$808.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#(rITLE AMOUNT Board Members 1
1207 i 606505 I 42-390.40 I $808.20 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
Tue day, June 09, 2015
Director, Brook ire 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))
06/04/15 606505 Beer $808.20
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