250016 09/30/15 �l i. CITY OF CARMEL, INDIANA VENDOR: 364765
j; it ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANA CHECK AMOUNT: $'**""200.42*
r. _� CARMEL, INDIANA 46032 PO BOX 864860 CHECK NUMBER: 250016
vM,__ �. ORLANDO FL 32886-4860 CHECK DATE: 09/30/15
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1952654 200.42 FOOD & BEVERAGES
Southern Wine and Spirits of Indiana DRAFT INVOICE
1952654
REMIT TO Stop b: 8
800.276-5148 Route q: 108-750
PO BOX#864860 Delivered By: Duane-108 Arnold
ORLANDO,FL 32886-4860 Sales person: 995
Sales Person Phone:
SOLD TO SHIP TO
. BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
C/0:CITY OF CARMEL 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY CARMEL,IN 46033
CARMEL,IN 46033 317-846-7431
317-846-7431
PO NUMBER DEN PERMIT PERMIT ENP INVOICE DATE DELIVERY DATE/TIME
N 29-03542 7/13/16 9/16/15
ADCQNT r VENDOR r COUNTY REFERENCE r
1653 Hamllbon
C8/BT ITEM UNIT UNIT UJIT NET TANEB TOTAL
PRI[f DIBCOlN7 ANOINT
0/2 CROWN ROYAL CANADIAN 80(NO BOX)(OL 34.34 0.00 34.34 0.00 68,68
ITEM#: 10947 BPC; 12-1.01-
0/3
,OL0/3 ABSOLUT VODKA 80 29.00 0.00 29.00, 0.00 87.00
ITEM#: 15402 BPC: 12-I.OL
0/2 CAPT MORGAN RLIM SPICED 70 22.37 0,00 22.37 0.00 44,74
ITEM#: 317436 BPC: 12-1,OL
--0/0 DELIVERY CHARGE 0.00 0.00 0.00 0.00 0.00
ITEM#: 126161 BPC: 1-l)NIT
TOTAL TOTAL TOTAL TOTAL TOTAL
CS/
STLS GROSS AMT DISCOUNTS NET AMOUNT TAXES
0/7 200.42 0.00 200.42 0.00
PAYMENT DUE DATEAMOUNT
9/30/15 00
PAYMENT TERMS:NET ID DAYS
TERMS AND CONDITIONS TERMS
This sale shal taco made h accadarce with a1 appk:able laws ab A savte=of$30.00 wi be dwgad an the ocoxence of a
regUations.Custarer shat be responsble for al sales tax due on bounced chedr Please exanke goods before signFq.N dams,
sales of goods In the event of action to collect Indebtedness hdA breakage v shortage must be made hsnedateh Won
created by the sale of goods,Southern Wine&WI s of Indana, mcebt of shbment.OUR RESPONSIBILITY FOR SAFE DELIVERY OF
LLC shut be entitled to recover fran the ustaner hereh the GOODS CEASES WWA GOODS ARE N BUYERS POSSESSION OR
wiclpal arrant of the Indebtedness,al awed and acaLkQ BUYERS AGENT SIDS DELIVERY RECEIPT,Such acceptance of
seMce dunpes as of the date of the sale of these goods,al goods confirtrs ageement that tht hrolca Is pay to the
acaued ard aca,.iq cut costs and reasauble attorney's fees. address above and that the total Mate Is due ad payable within
Custcnw fatter agrees that any lawsUt Involving any drspute fifteen(15)days of the hvote date hdudd If not then fah'pall
between the conpmY and k:ensee may be Red h 1oMrson or this and al prior hvotes wi,as Perni by law,bear blares$a
Marlon Canty at SWOWn VVM&Spills'option. saute charges frau date of pvduse at 1..5%Per mmth and will
ress/t h Ess of any eluant and may resuN h loss of aedt
prNleges,reasorghhe oats and attvreys'fees will be addd.
NO CLAIMS FOR 61,DRTAGES WILL BE ALLOWED UNLESS INSPECTED AND NOTED AT TIME OF DELIVERY
DATE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits-Indiana
IN SUM OF$
P.O. Box 864860
Orlando, FL 32886-4860
$200.42
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#rrITLE AMOUNT Board Members
1207 I 1952654 I 42-390.40 I $200.42 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
Tuesday, September 22, 2015
l
Director, Brookshire G f 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))
09/16/15 1952654 Wine&Spirits I $200.42
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