249034 08/26/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 364765
ONE CIVIC SQUARE SOUTHERN WINE & SPIRITS-INDIANA CHECKAMOUNT: $*******499.33*
CARMEL, INDIANA 46032 PO BOX 864860 CHECK NUMBER: 249034
ORLANDO FL 32886-4860 CHECK DATE: 08126115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1933044 499.33 FOOD & BEVERAGES
Southern Wine and Spirits of Indiana DRAFT INVOICE
1933044
REMIT TO Stop N: 17
800-276-5148 Route M: 108-750
PO BOX#864860 Delivered By, Duar*-108 Arnold
ORLANDO,FL 32886-4860 Sales Person, 995
Sales Person Phone:
BOLD TO SHIP TO
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
C/O:CITY OF CARMEL 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY CARMEL,IN 46033
CARMEL,IN 46033 317-846-7431
317-846-7431
PO NUMBER DEX PERMIT PERMIT EXP INVOICE DATE DELIVERY DATE/TIME
N 29-03542 7/13/16 8/12/15
ACLlRWT a VENDOR a COUNTY REFERENCE 0
1653 Hamilton
CB 1 BT ITEM UNIT PRUE OIBCOIN7 AUNIT
MOUNT TAXER TOTAL
0/2 GLENLIVET SCO SM 12YR 80 YRC 46.84 0.00 46.84 0,00 93.68
ITEM#: 447 BPC: 12-I.OL
0/3 CROWN ROYAL CANADIAN 80(NO BOX) 34.34 0.00 34.34 0.00 103.02
ITEM#: 10947 BPC: 12-1.0.
PRCAV A'2795
0/4 ABSOLUT VODKA 80 29.00 0.00 29.00 0.00 116.00
ITEM#: 15402 BPC: 12-1.01-
0/3
.0L0/3 JOHNNIE WALKER BLACK 80 YRC 39.84 0.00 39.84 0.00 119.52
ITEM#: 22726 BPC: 12-1.01-
0/3
.OL0/3 CAPT MORGAN RUM SPICED 70 22.37 0.00 22.37 OAO 67.11
ITEM#: 317436 BPC: 12-1.OL
PRQW#2295
0/1 CAPT MORGAN RUM PINEAPPLE 70 22.37 22.37 0,00 0.00 0.00
ITEM#: 378361 BPC: 12-I.OL
PRCr1V#2295
0/0 DELIVERY CHARGE 0.00 0.00 0.00 0.00 0.00
ITEM#: 126161 BPC: 1-UNIT
TOTAL TOTAL TOTAL TOTAL TO7AL
CB/BTLB OROSS AMT DIS[X111NT8 NET AMOUNT TA7LL6
0/16 521.70 22.37 499.33 0.00
PAYMENT DUE DATE (;&CJ
PAYMENT TERMS:NET 15 DAVE
TERMS AND CONDITIONS TERMS
TFn sale shall be made n accordance vnth al applicable awe and A sarvCe dwga of 130.00 wi be Charged on the occunece of a
regJatms.Customer shal be responstie for al sales tax dA on bounced[.trick.Plem a.-goods Inefpre s0*9,Al cams,
sales of goods.In the event of action to collect hdebtedms hclAyg breakage a shortage must be made hyrrdat*Loan
created by the sale of goods.Southern wne&Sprits of lndea, -apt of ihprnent.OUR RESPONSIBILITY FOR SAFE DELIVERY OF
LLC shall be wbtled to recover ham the customer herein the GOODS CEASES WHEN GOODS ARE W BUYERS POSSESSION OR
prncWl araunt of the rdebtedness,al accrued and accrLwg BUYERS AGENT SIGNS DELIVERY RECEIPT.Such acceptance of
se m charges as of the date of the sale of these goods,A goods confirm agreement that ft Invoke a payable to the
accrued ad
accruing court costs ad reasonable attorney's fees. address tore and dwt the total Moke a ckA and payable vntM
Customer fsrdw agrees that any lawwt nvohiq any dispute fifteen(15)days of the nvoce date aCLded If not then k*pad
between the company and licenseenay be Bed n 3oFnso n a the and al prior Invokes wEe,as pwmtted by law,benterest or
em
MCo my at Southern Wine&Sprns'optm. senCe charges from date of purduse at 1.5%per north and wd
resit n loss of any discount and may resit In loss of credt
pWw,reason"costs and attorneys'fees.1 be added.
NO CLAIMS FOR SHORTAGES WILL BE ALLOWED UNLESS INSPECTED AND NOTED AT TIME OF DELIVERY
DATE
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))
08/12/15 I 1933044 I Wine&Spirits $499.33
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits -Indiana
IN SUM OF $
P.O. Box 864860
Orlando, FL 32886-4860
$499.33
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1933044 I 42-390.40 I $499.33 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
Wednesday, August 12, 2015
Director, Brookshire pulf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund