HomeMy WebLinkAbout250932 10/28/15 0.Cqq
"'' CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******142.30*
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CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 250932
M��oN.�o. KOKOMO IN 46904-2856 CHECK DATE: 10/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 142.30 FOOD & BEVERAGES
MIDAMERICA INVOICE
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BEVERAGE , . . . . . . . CITY OF CARMEL
INC. dba BROOKSPIIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr.;,.; 1 CARMEL IN 46032
P.O. Box 28561
Kokomo, IN 46904-2856. RR^703542 EXP. 67/1,51"±6
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
10/2`:/15 624543 Dustin Smith GOO 13
PRODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMO'UNT
•.
BASE September 28, 2015
PROMO #0915A
/ Wine:W 342887'0
109 3 / Bud 24 L.se Can 10.60 55.80
225 1'� Bud Lt 1/4 BBL 56. 50 30 .00 86.50
I
f
I
Cases 3 1/4 Barrels 1
I.
O' TOTAL SALE 142.3,0
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT K 14.2.30
RETURNS CREDITSY
_ CREDITS
❑ Cash ❑ EFT ❑ EscrowCheck Number
,1( r / 30
D'river,e� / � Received By .
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF$
P.O. Box 2856
Kokomo, IN 46904-2856
$142.30
i
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
1207 I 624543 I 42-390.40 I $142.30 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
Friday, October 30, 2015
i
Director, Brookshir off 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))
10/29/15 624543 Beer $142.30
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