250549 10/20/15 ♦j r.F�q*�i
CITY OF CARMEL, INDIANA VENDOR: 364765
® i ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANA CHECK AMOUNT: $....***213.73*
CARMEL, INDIANA 46032 PO sox 864860 CHECK NUMBER: 250549
ORLANDO FL 32886-4860 CHECK DATE: 10/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1968449 213.73 FOOD & BEVERAGES
I�
Southern Wine and Spirits of Indiana DRAFT INVOICE
1968449
REMIT To Stop M: 30
800-276-5148 Route 001 108-750
PO BOX#864860 Delivered By: Duane-108 Arnold
ORLANDO,FL 32886-4860 Sales Person: 995
Sales Person Phone:
SOLD TO SHOP TO
BROOKSHIRE GOLF CLLR BROOKSHIRE GOLF CLLR
C/O:CITY OF CARMEL 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY CARMEL,IN 46033
CARNa,IN 46033 317-846-7431
317-846-7431
PO NMBER DEM PERMIT PERMIT EXP INVOICE DATE DELIVERY DATE/TIME
N 29-03542 7/13/16 10/14/15
-ACCMNT 0 VENDOR N COMITY I REFERENCE N
1653 Hamilton
CS/ST ITEM -T UST IYiIT NET TAfFB TOTAL
PRICE DltaCblNT ANOINT
0/3 CROWN ROYAL CANADIAN 80(NO BOX)(OL 34.34 0.00 34.34 0.00 103.02
ITEMM 10947 BPC: 12-1.OL
PRAM A'2295
0/2 ]OSE CLERVO TEQ ESP GOLD 80 21.13 1.88 19.25 0.00 38.50
ITEM#: 168824 BPC: 12-1.01.
PRQAV A'2725
0/1 TANQLERAY GIN 94.6 27.47 0.00 27.47 0.00 27.47
ITEM#: 278078 BPC: 12-1.01-
PROIvV&2295
0/2 CAPT NIORGAN RUM SPICED 70 22.37 0.00 22.37 0.00 44.74
ITEMW 317436 BPC: 12-I.OL
PRCAV&1195
0/1 THREE OLIVES VOD PINEAPPLE 70 31.00 31.00 0.00 0.00 0100
ITEM#: 388958 BPC: 6-1,01-
PRGIMD,V 2725
0/1 SMIRNOFF VOD PEPPERMINT TWIST 60 12.67 12.67 0.00 0.00 0.00
ITEM#: 398686 BPC: 12-750NL
PRCAV#2295
0/0 DELIVERY CHARGE 0.00 0.00 0.00 0,00 0.00
ITEM#: 126161 BPC: I-LNIT
TOTAL 70TA1 TOTAL TOTAL TOTAL
CS/BTLS DROSS AMT DISCOIITB NET MN]ONT TAMES
0/10 261.16 47.43 213.73 0.00
PAYMENT DUE DATE IP Y THIS AMOUNT
10/28/15 213.73
PAYMENT TERMS:NET 15 DAYS
TERMS AND CONDITIONS TERM
Tit sate shat he made In accordance with al aooka6le laws ard A service chrpe of 130.00 wi char on the ocarre nce of a
regJaticrss.Custamer shat he responskie for al sales tax due on barred deck.Please eiamhe goods before
signing.Al dams,
sales of ponds In the event of action to collect indebtedness hdrd ng breakage or shortage const be made hrrwdatsis upon
created by the sale of goods,Smdnern Wine&Spirits of Indiana, recut of shprriant.OUR RESPONSIBILITY FOR SAFE DELNBY OF
LLC shat be entitled to recover horn the aatmer hervin the GOODS CEASES WFEid 60005 ARE W BUYER'S POSSESSION OR
p&-pal arrant of the hddrtedress,al accrued and acauYq BUYERS AGENT SIGNS DELIVERY RECEIPT,Such acceptarima of
service charges as of the date of the sale of these goods,al goods confYms aQeenent that this Moica is payable to the
awued and acanrq cart costs and reawnahle attorney's fees. addess above and that the total Ynrolca tr due and payable witHn
Cn tarer Lather agrees that any lawsuit hvdvhg aarrtyry dspute fifteen(15)days of Rte Make date hduded if rot then flty paid
between ft cm1my a d kerne may be Aced In Johnson or CHInvoicess and al prior Invoices wE,as permitted by law,bear Interest or
Marjan Canty at Southern W ne&Spits'optkn, service Berges frau date of prdose at 15%per month"mil
resat in loss of marryydscant and may rmit In loss of asdt
whiagas,reasonable costs and attorneys'fees w1 be added.
PO CLAIM FOR SHORTAGES WILL BE ALLOWED UNLESS INSPECTED AND NOTED AT TIME OF DELIVERY
DATE
---------------
w�
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits -Indiana
IN SUM OF $
P.O. Box 864860
Orlando, FL 32886-4860
$213.73
ON ACCOUNT OF APPROPRIATION FOR
I
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1968449 I 42-390.40 I $213.73 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
D rector, Brookshire Golf
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))
10/14/15 I 1968449 I Wine&Spirits I $213.73
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