HomeMy WebLinkAbout247711 07/28/15 i��.CAq*
�( „s CITY OF CARMEL, INDIANA VENDOR: 359294
j; ® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $**""*209.55*
x9 ,?� CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 247711
.y�roN KOKOMO IN 46904-2856 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 209.55 FOOD & BEVERAGES
M=A AMERICAINVOICE
BEVERAGE CITY OF, r�ARd EL
dba BROOKSHIRE GOLF CLUB
INCE 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL- I N 46032
P.O. Box 2856
Kokomo, IN 46904-2856 rv-,27055 2 F-XF .
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/30115 613408 Dustin Smith 13 800 13
PRODUCT QUANTITY DESCRIPTION PRICE DEPOSIT •
UNT
•.
BASE September 29, 2014
PRONTO #0715
WINE W3428870
209 7 '�- Bud Lt 24 Lse Can 18.60 130.20
908 1 I'1ich Ultra 2/12 Can 20.85 20.85
1737 3 Stella 2/10 Pack 14 . 9 oz 29. 50 118.50
i
t:
Cases 11
PROD.CODE CITY. DESCRIPTION PRICE AMOUNT TOTAL SALE 239. 55
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 / EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 239.55
RETURNS TOTAL CREDITS y
CREDITS
O
❑ Cash ❑ EFT ❑ EscrowC heck Number
Driver Received B
_ Y
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$209.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1207 I 613408 I 42-390.40 I $209.55 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
P
Thursday, July 30, 2015
I r ,
Director, Brooks re 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))
07/30/15 613408 Beer $209.55
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