HomeMy WebLinkAbout249112 09/02/15 4�d Cgq�F
J/ �• CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $•'...."438.20"
:. _� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 249112
�MiroN KOKOMO IN 46904-2856 CHECK DATE: 09/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 438.20 FOOD & BEVERAGES
MID�MMERICA, INVOICE
B RAE F : ; , CITY OF; CARMEL
r dba BROOKSHIRE GOLF CLUB
INCE 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 0 1 i,1
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W340921'2
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER (NUMBER ROUTE
09/03/15 b17852 Dustin Smith 13 800 13
QUANTITY DESCRIPTION E DEPOSIT
CODE PRIC-
BASE September 29, 2014
PROMO #0915
! WINE:W3428870 ,
109 5 Bud 24 Can //
208 12 Bud Lt 2/12 Can 17. 55 1 . 50 210.60
225 1"'" Bud Lt 1/4 BBL 53.50 30.00 83.50
7025 2 ' Goose 312 2/12 Can 25.55 51 .10
``� V �✓ �f/ "tel /�
I 'jar
I /
Cases 19 1/4 Barrels
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT TOTAL SALE rte- 438.20
10303 EMPTY'AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
15
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 :
9230
PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K
RETURNS TOTAL CREDITS plo,
YO CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number ,.2 U
Driver Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$438.20
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 42-390.40 bill(s) is (are)true and correct and that the
1207 I 617852 I 42-390.401 $438.20
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, September 03, 2015
Director, BrookshirEyolf 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))
Credit remaining of$7.50
on CK 249112
09/03/15 I 617852 I Beer I $438.20
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