HomeMy WebLinkAbout250088 10/06/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******222.60*
CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 250088
KOKOMO IN 46904-2856 CHECK DATE: 10/06/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 222.60 FOOD & BEVERAGES
r
l
. j .
INVOICEMIWAMERICA
BEVERAGE ' ' '
CITY OF= CARMEL . . .
dba BROOK,SHIRE GOLF CLUB
INCE . 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CPRMEL I N 46032
P.O. Box 2856
Kokomo, IN 46904-2856 I p -
L tJ J �,•L - . r .�r t.�
765-459-3117 �.
800-382-0675
`
Fax: 765-457-7967 ;
BEER W3409212
I` INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
10/08/15 622077 Dustin Smith 13 800
PRODUCt • .ESCRIPTION PRICE DEPOSIT
•.
BASE September 289 2015
PROMO #0915A
W i,ne:W34288 7 0
109 5 ---- Bud 24 Lse Can 18.60 93.00
209 6' Bud Lt' 24 Lse Can 10.60 111 .60
008 1-- Mich Ultra 2/12 Can 21 .65 21 .65
7025 1 ,-- Goose 312 2/12 Can 26.35 26.35
Cases 13
--" DESCRIPTIONTOTAL SALE 252.64
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 f EMPTY AB 1/4 30.00/ A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 252.60
TOTALRETURNS - .
p CREDITS
❑ Cash ❑ EFT ElEscrow 4Check NumberU r
r r
v
Drivery;' ���� Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$222.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1207 I 622077 I 42-390.40 I $222.60 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
Monday, October 19, 2015
irector, Brookshir 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))
10/08/15 622077 Beer $222.60
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