HomeMy WebLinkAbout248112 08/04/15 4+u�L�yMf
Ji �. CITY OF CARMEL, INDIANA VENDOR: 359294
\. CHECK AMOUNT: $*******333.55*
.�; ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
d. ,?� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 248112
9M��TON�` KOKOMO IN 46904-2856 CHECK DATE: 08/04/15
1
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 333.55 FOOD & BEVERAGES
MIWAMERICA INVOICE
BEVERAGE. CITY OF, CARMELdba BROOKSHIRE GOLF CLUB
INC. r 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 460,j i
P.O. Box 2856 i
Kokomo, IN 4690*2856 ' RR29ta 542 EXP, 1Qi` Y tj
765-459-3117
800-382-0675
Fax: 765-457-796
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/06/15 614243 Dustin Stfiith 1 13 800 1
PRODUCTI QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
BASE Septplmber 29', 2014
PROMO #OB15
WINE:YK 428870
209 6 Bud ,Lt 24 Lse Can 13.60 111 .6+:
225 1 Bud Lt 1/4 9BL 53. 50 30.00 83.50
908 4Mich Ultra 2/12 Can 20.e5 83.40
1537 1 Stella '--,'/10 Pack 14.9 oz 29. 50 29.50
�I
Cases 11 1/4 Barrels 1
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT TOTAL SALE 309.00
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 H
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 308.Vic:?
RETURNS TOTAL CREDITS 10. y
� 0 CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number
010
Received
r /
Driver // Received By
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$333.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 42-390.40 1 hereby certify that the attached invoice(s), or
1207 614243 42-390.40 $333.55 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, August 06, 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))
We have a credit of 25.55
08/06/15 614243 Beer $333.55
1 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