HomeMy WebLinkAbout301806 08/10/16 '% �,A,��. CITY OF CARMEL, INDIANA VENDOR: 359294
G;d ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: S'"""'230.10`
r• ?�: CARMEL, INDIANA 46032 PO 80X 2856 CHECK NUMBER: 301806
9M,��oN�. KOKOMO IN 46904-2856 CHECK DATE: 08/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 080916 230.10 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.
$230.10 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
659570 42-390.40 $230.10 1 hereby certify that the attached invoice(s),or 8/11/16 659570 Beer $230.10
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,August 11,2016
1 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MIWAMERICAINVOICE
BEVERAGE :
. . . ..
CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
INCE 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 n y r��r y:5r 17
765-459-3117
800-382-0675
Fax: 7657457-7967
BEER W3409212
INVOICE.DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
0ES1`11l:16 659570 Dustin Smith 13 800 13
'RODUCI QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
•.
BASE September 28, 2015
PROMO ##0816
WINE W142e87O
109 3 Bud 24 Lse Can 18.60 55.90
209 6Bud Lt 24 Lse Can 18.60 111 .60
909 3 f Mich Ultra 24 Lse Can 20.90 62.70
Cases 12
PROD.CODE QTY. DESCRIPTION PRICE AMC
TOTAL SALE 230.10
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
9230 PUMP DEPOSIT
9270 IMPORT PUMP DEPOSIT 230-10
RETURNS TOfAL CREDITS y
® CREDITS
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Check Number
Driver %� �� Received By