HomeMy WebLinkAbout247076 07/08/15 1y ur.5!VgMP
�/ �• CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******186.00*
49, ,,. CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 247076
M��roN�. KOKOMO IN 46904.2856 CHECK DATE: 07/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 186.00 FOOD & BEVERAGES
MIWAMERICA INVOICE
BEVERAGE CITY OF CARMEL
INCE
dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr,. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
765-459-3117
800-362-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/09/15 610731 Dustin Smith 13 800PRODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
13
•.
BASE September 29, 2014
PROMO #0715
WINE W3428870
209 101--l' Bud Lt 24 Lse Can 18.60 186.00
Cases 10
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT TOTAL SALE 196.00
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB,1/2 30.00 H
10405 EMPTY AB 1/47 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT K
9270 IMPORT PUMP DEPOSIT 186.00
RETURNS TOTAL CREDITS 10,- Y
CREDITS
76❑ Cash ❑ EFT ❑ Escrow /® Check Number �{ U
Driver ���� d Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$186.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
� Board Members
1207 I 610731 I 42-390.40 I $186.00 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
Friday, July 10, 2015
Director, Brookshir olf 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))
07/09/15 610731 Beer $186.00
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