HomeMy WebLinkAbout248210 08/12/15 *° CITY OF CARMEL, INDIANA VENDOR: 359294
4� 4�
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $**""""185.05`
CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 248210
9a;��*oN�? KOKOMO IN 46904-2856 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 185.05 FOOD & BEVERAGES
I -MIDAMERICA INVOICE
BEVERAGE ' " CITY OF_ .CARMEL _ .. .
dba BROOKSHIRE GOLF CLUB
INC■ 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
765-459-3117
800-382-0675
Fax: 765-457-7967
i BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/13/15 61518C Dustin Smith 13 SCC 13
PRODUCY'l QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
2D. .
... BASE September 29, 2014
PROMO #0815
'. WINE:W342e87O ,
208 12 Bud Lt 2/12 Can 17. 55 1 . 50 210.60
i
/
Cases 12
PROD.CODE QTY. DESCRIPTION PRICE A
TOTAL SALE 2iO.60
10303 EMPTY AB 1/6 30.00
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 210.60
RETURNS TOTAL CREDITS 10 Y
o CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number U
Driver �./ Received By,
(VII ERICA INVOICE
BEVERAGE CITY OF CARMEL
INC. d Iia BROOKSH I RE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
765-459-3117 `'
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBE I SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08f06/15 614243 Dustin Smith 13 800 13
APPRRUED BY THEZTATE BOARD OF ACCOUNTS FORT ITY OF CARMEL 2002 CHECK NO.
CITY OF CARMEL, INDIANA 71-859 248112
PAYABLE AT
3 d ONE CIVIC SQUARE FIFTH THIFFD BANK
CARMEL, INDIANA 46032 INDIANAPOLIS,INDIANA
749 DATE: 08/04/15
GENERAL ACCOUNT
AMOUNT
.ia
$*******333.55*
PAY THE SUM OF THREE HUNDRED THIRTY THREE DOLLARS &" 55 CENTS
THIS WARRANT IS VOID TWO(2)YEARS AFTER
DECEMBER 31 OF THE YEAR OF ISSUE
TQ MID AMERICA BEVERAGE INC
THE PO BOX 2856 �✓
4
ORDER RER
OF KOKOMO IN 46904-2856 L/ ,
II' 248 � � 2n• �:074908594 : � �`.>��� .
C 0 R"R" E C T
M Evol
r
MID AMERICA OWES r!
9POTPINIRM GYVE!
Cases 11 1/4 Barrels 1
--•• CODE DESCRIPTION AMOUNTTOTAL SALE :306.0
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 308.4
RETURNS� TOTALC-
EDITS 10-
�, ® (CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number + r 11
— -- Bill
• • . r
Driver Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$185.05
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 614243 42-390.40 ($25.55) 1 hereby certify that the attached invoice(s), or
1207 615180 42-390.40 $210.60 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, gust 13, 2015
r
Director, BrookshirwoClub
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))
08/06/15 614243 Credit from CK 248112 ($25.55)
08/13/15 615180 Beer $210.60
I
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