Loading...
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