HomeMy WebLinkAbout259244 06/01/16 (9' .
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECKAMOUNT: $***'***995.15*
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 259244
KOKOMO IN 46904-2856 CHECK DATE: 06/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 060116 995.15 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
MID AMERICA BEVERAGE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 2856 IN SUM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
KOKOMO, IN 46904-2856 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$995.15 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
650424 42-390.40 $995.15 1 hereby certify that the attached invoice(s),or 6/2/16 650424 Beer $995.15
1207 101 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,June 02,2016
"A
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MIMERICA INVOICE
WOF
BMIMGf dbaYBROOKSHIRE GOLF CLUB
INC, 1212U BROOKSHIRE PARKWAY
CARMEL IIS 46032
2755 Commerce,Qr.
P.O. Box 2856of racy i�n-r A7 CV 0
Kokomo, IN 469042856; -
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER, SALESMAN. NUMBER CUSTOMER NUMBER ROUTE
06/02/16 b5(a424 Dustin Smith 13 800 13
DESCRIPTION PRICE DEPOSIT AMOUNT
CODE I
BASE September 28, 2015
PROMO #0616A
Wine:W3428870
-109 15 Bud 24 Lse Can 18. 50 277.5()
20,9 25 Bud 'Lt 24 Lse Can 18.50 452.50
21 .60 , 86.40
408- - 4 � B Lt Lime 2 11/12 Can
909 5 Mich" Ultra 24 Lse Can 19.40 97.00
7025 5 / Goose 312 2/12 Can 26.35 131 .75
Cases 54 -
TOTAL SALE- 1 ,055.15
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2" 30.00• H
1.0405 EMPTY-AB 1/4 30.00 ���QQ A
10301 EMPTY CROWN 1/4 BBL 30.00 N j
9230 PUMP DEPOSIT
9270 IMPORT PUMP..DEPOSIT K 1 ,055.15
RETURNS TOTAL CREDITS
CREDITS --�, o(.,
El-Cash. El EFT ElEscrow Check Number ' l
Driver oe/ Received By
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