HomeMy WebLinkAbout258567 05/10/16 ! ;'• CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******407.30*
CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 258567
9M�TON�o:` KOKOMO IN 46904-2856 CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 051016 407.30 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO.
ALLOWED 20
MID AMERICA BEVERAGE INC
PO BOX 2856
IN SUM OF$
KOKOMO, IN 46904-2856
$407.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
647701 j 42-390.40 j $407.30 1 hereby certify that the attached invoice(s), or
1207 101
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, May 12, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
05/12/16 I 647701 I Beer I $407.30
1207 101
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
MWAMERICA INVOICE
BEVERAGE . . . . CITY OF : CARMEL
INC, dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. 1 CPR1`1EL I N 46032
P.O. Box 2856 # "'�
Kokomo, IN 46904-2856
765-459-3117 RR: X40'3%542 EXP. 07/13/16
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE . INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/12/16 6477(31 Dustin Smith 13 800 13
gRODUICT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
BASE September 28, 2015
PROMO #0516
W I(1JE e 483428870
209 15 '� Bud Lt 24 Lse Can 13.60 279.00
225 1 ''-- Bud Lt 1/4 BBL 56. 50 30.00 56. 50
909 2 Mich Ultra 24 Lse Can 20.90 41 .80
Cases 17 1/4 Barrels 1
PROD.CODE QTY. DESCRIPTION PRICE AMOUNT TOTAL SALE 40 7.3kQ
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 407 .30
TOTALRETURNS CREDITS Y
f _ �� � 0 CREDITS
E] Cash , ❑ EFT ❑ Escrow r' Check Number U
Driver X ti Received By