HomeMy WebLinkAbout250019 09/30/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 364942ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: S*"*'**160.81'
CARMEL, INDIANA 46032 700W OLISNT46225-1447 CHECK NUMBER: 250019
CHECK DATE: 09/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 2076969 160.81 FOOD & BEVERAGES
R EP U fl LI C NHTIUN I
S ,ROORQHI E60LF CLUD 26
CUSTOMER NO. CUSTOMER P.O.NUMBER INVOICENUt
0 flUTING CUMPflY LC Ii4LLTLE � C6 ��
CITY OF isiE
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R i.c'?e''} 1f if3L l:arlT F.s '? ci`f ORDER N0. PERMIT/LICENSE NO. TYPE 1 , INVOICE DATE
T 700 1,1. Morris Street RR-2.?--03E'-j42 ALL 03/1.4/1.1
0 CARPEL Tf'd 4603 iMITANAPOL IS, 114 46225-1.417 ROUTE STOP EXPIRATION DAT TERMS
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'SPECIAL INSTRUCTIONS: ST f E F'Ef;i 3-7 T W-3909123{i}`?1;3 SHIPMENT N0. DIV.N0.SALES N0. IV.NO.SALES NO. IV.NO.SALES N0. DIV.N0:SALES N0.
1221:3 1.3323 123
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE
Invoice i0/011115,
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ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT NET BOTTLE
BULK LOC. UPC "` VINTAGE RC"' RETURN RETURN PRICE DEAL# UNIT COST COST NET PRICE
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,LITERS I • RETURN CODES: A-Out of Stock
LIQUOR LITERS/GALS. WINE LITERS/GALS. BEER LITERS/GALS. B-Picking Error
0-Did not order C-Teo Early/foo Late
2-Pricing Error D-Damaged on Truck 7 7 % 7
3-Out of Business E-No Money
1. F3 a
4-Duplicate F-Office Cancel 1.60. 81
HIGH INE LITERS GALS. LOW WINE LITERS IGALS. PARKLING LITER ALS. 16-Won't scan or not authoriz�edh H-Defective \r CHECK p
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RECEIVED BY A� CHECK AMOUNT
I,as the licensee,agent of this licensee,or em loyee thereof of the business accept the merchandise
shown on the invoice and certify that to i�e best of my knowledge there has been no change in PACE: 1
owners
wns ship of this business without notification to the State Alcohol Board and is the holder of an DATE: TIME:
effective penniNicense.There will be a$50 service charge for an dishonored check.We are not
responsible for breakage, loss, or damage to merchandise ager delivery or acceptance by
Common Carder. DRIVER SIGNATIIRE I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF$
P.O. Box 1602
Indianapolis, IN 46206
$160.81
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 2076969 I 42-390.40 I $160.81 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
Thursday, September 24, 2015
(L,4, d & ,
Director, Broo ire 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))
09/24/15 2076969 Wine&Spirits $160.81
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