HomeMy WebLinkAbout249153 09/09/15 1+1 LggMF
�� ;,• CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $'"••""'234.30'
CARMEL, INDIANA 46032 Po 6Ox 2656 CHECK NUMBER: 249153
KOKOMO IN 46904-2856 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 234.30 FOOD & BEVERAGES
MIDKMERICA INVOICE
. BEVERAGE CITY O1= CARMEL
dba BROOKSHIRE COLT CLUB
INC. 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O.,Box 2856
Kokomo,'IN 46904-2856 Y ,1 13/ 1 3
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/10/15 618700 Dustin Smith 13 800DESCRIPTION CE POSIT AK4bLINY-
PRbDO& TY PRI F DE
13
CODE QUANTI
BASE September 29, 2014
PROMO #0915
WINE:W3428870
.,109 3 Bud 24 Lse Can 18.60 55,.80
209 10 r' Bud Lt 24 Lse Can 18.60 186.00
V
(
` Cases 13
--" DESCRIPTIONTOTAL SALE
241 .80
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 241 .00
TOTALRETURNS - .
Y CREDITS
O
El Cash ❑ EFT ❑ Escrow Check Number U
cJV
Driver tf %�� Received By
f
G• <U
0 „<
430 . 710-~
4'3:8.20,,-
7. 5 0-*
MI ERICA INVOICE
� ��� CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
INQ 12124 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 3
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER I SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/03/15 617652 Dustin.- Smith .13 'po -.13
. .
F THF11 SECURITY FEATURES,
4 --
APPROVED BY THE STATE BOARD 0 ACOOUNTS FOR THE GITY:OF CARMEL 2002 CHECK NO.
£,q
�% e� CITY OF'EARMEL INdII'ANA i=AYABLE-.:AT 7,-$59 249112
�} ONE CIVIC SQUARE FIFTH THIRO BANK 749
I, INDIANAPOLIS;'INDIANA ` DATE: 09/02/15
s :=a' CARMEL, INDIANA
6032 ,
GENERAL ACCOUNT
AMOUNT
- $ #>f -**438.20#
PAY THE SUM OF FOUR HUNDRED THIRTY EIGHT DOLLARS & 20 CENTS
_ - THIS WARRANT IS VOID TWO(2)YEARS AFTER
'DECEMBER 3:1 OF THE YEAR OF ISSUE
c1 ••=Y '
TO MID AMERICA BEVERAGE INC
THE PO. BOX' 2856
EA RER _
ORDER KOKOMO IN 46904-2856
OF
,in 249 11 211' 1:0749085941: 9991,19 34 2711'
r
IF .
Cases 19 1/4 Barrels 1
PROD.CODE QTY. DESCRIPTION PRICE
TOTAL SALE '438.2(
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
® CREDITS y
O CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number U
r
Driver 2 6oReceived By - -- - -
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$234.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 618700 42-390.40 $241.80 1 hereby certify that the attached invoice(s), or
1207 42-390.40 ($7.50) 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,,September 10, 2015
Director, Brocothire 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))
09/10/15 618700 Beer $241.80
09/10/15 Credit remaining from ck 249112 ($7.50)
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