HomeMy WebLinkAbout302321 08/24/16 .aur-F•IF1s
q,! ;ۥ - CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $******'280.50*
s ?� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 302321
9dji Tori�°'� KOKOMO IN 46904-2856 CHECK DATE: 08/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 082316 280.50 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
MID AMERICA BEVERAGE INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 2856 IN SUM OF$ 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.
$280.50 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
661358 42-390.40 $280.50 I hereby certify that the attached invoice(s),or 8/25/16 661358 Beer $280.50
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
Friday,August 26,2016
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
MIU AMEKIL;A BEVERAGE INC SOLD T0: INVOICE
2755 COMMERCE DR CITY OF CARMEL
P 0 BOX 2856 dba BROOKSHIRE GOLF CLUB
KOKOMO, IN 46904-2856 12120 BROOKSHIRE PARKWAY
(765)459-3117 CARMEL,IN 46032
RR2903542 EXPIRES 07/13/17
BASE September 28,2015 PROMO#0816 WINE W3428870
INVOICE DATE INVOICE NUMBER PURCHASE ORDER SALESMAN CUSTOMER NUMBER ROUTE/DRIVER
08/25/2016 661358 13 Dustin Smith 800 13 Dustin Smith
PRODUCT QTY
CODE CASES EACH DESCRIPTION PRICE DEPOSIT UNIT DISCT AMOUNT
109 2 Bud 24 Lse Can 18.60 37.20
209 8 Bud Lt 24 Lse Can 18.60 148.80
909 2 Mich Ultra 24 Lse Can 20.90 41.80
7025 2 Goose 312 2/12 Can 26.35 52.70
Cases 14
PROD.CODE QTY DESCRIPTION PRICE AMOUNT
TOTAL SALE 280.50
RETURNS TOTAL CREDITS > TOTAL CREDITS
TOTAL DUE
FICASH ❑CHECK# FICHARGE
RIVER RECEIVED BY