HomeMy WebLinkAbout300282 07/13/16 \. CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT
CARMEL, INDIANA 46032 Po BOX 2656 CHECK NUMBER
KOKOMO IN 46904-2656 CHECK DATE:
DEPARTMENT ACCOUNT PO NUMBER INVOI E NUMBER AMOUNT DESCRII
1207 4239040 0712 6 304.50 FOOD & BEVE
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.
$304.50 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
655861 42-390.40 $304.50 1 hereby certify that the attached invoice(s),or 7/14/16 655861 Beer $304.50
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
harge is made-weme ofdered and
received except
Friday,July 15,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MIWAMERICA INVOICE
. . C _TY OF CARMEL
BEVERAGE. .
INC. dlia :BROOKSHIRE GOLF CLUB
1:2120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL Iii! 46032
P.O. Box 2856
Kokomo, IN 46904-2856 (;p;2y�J 15-2L R
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBERCUSTOMER NUMBER ROUTE
07/14/16 655861 Dustin Smith 13 BU0 13
'RODUCT QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
BASE September 284 2015
PROMO 40716
Wine: W3428870
109 3 / Bud 24 Lse Can 18. 60 55.8sy
209 10 ",
0 " Bud Lt 24 Lse Can 18.60 186.00
909 3 Mich Ultra 24 Lse Carl 20.90 62.70
7.
Cases 16
DESCRIPTION PRICE AMOUNT
TOTAL SALE
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 K
9270 IMPORT PUMP DEPOSIT 304.50
TOTALRETURNS CREDITS �
® CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number
Driver /"�J � Received By