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Home My WebLink About302743 09/07/16 (9- CITY OF CARMEL, INDIANA VENDOR: 359294 „*�,,,,,,ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: S 260.55CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 302743 KOKOMO IN 46904-2856 CHECK DATE: 09/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 091716 260.55 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. $260.55 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 663156 42-390.40 $260.55 1 hereby certify that the attached invoice(s),or 9/8/16 663156 Beer $260.55 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, September 08,2016 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 MIMERICA INVOICE BEVERAGE . . . . CITY OF - CARMEL INC, dba BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL I N 46032 P.O. Box 2856 Kokomo, IN 469042856 765-459-3117 RR2903542 ERCP. 07/13/17 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 09/08!16 663156 Dustin Smith 13 800 13 ..•• •UrANTITY DESCRIPTION •DD�POSIT AMOUNT BASE September 28, 2015 PROMO # 0916 WINE:W3428870 109 2 Bud 24 Lse Can 18.60 37.20 209 8 ''' Bud Lt 24 Lse Can 18.60 148.et.) 408 1 B Lt Lime 2/12 Can 21 .85 21 .85 7025 2 Goose 312 2/12 Can 26.35 52.70 Cases 13 III SPIN I I PRICE AMOUNT TOTAL SALE 260. 55 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 260. 55 RETURNS • jll�' Y T l O CREDITS -❑ Cash ❑ EFT ❑ Escrow J Check Number/) Driver _ Received By CITY OF CARMEL, INDIANA VENDOR: 370378 ONE CIVIC SQUARE BIER BREWERY &TAP ROOM CHECK AMOUNT: $*******130.00* CARMEL, INDIANA 46032 5133 E 65TH CHECK NUMBER: 302746 INDIANAPOLIS IN 46220 0", CHECK DATE: 09/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 ' 091716 130.00 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) BIER BREWERY&TAP ROOM ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 5133 E 65TH IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46220 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $130.00 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 6907 42-390.40 $130.00 1 hereby certify that the attached invoice(s),or 9/9/16 6907 Beer $130.00 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 Wednesday, September 07, 2016 Al / VVI 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer BIER BREWERY&TAP ROOM INVOICE ME 5133 E. 65TH STREET MINDIANAPOLIS, IN 46220 DATE INVOICE# 9/9/2016 6907 _Aw� PHONE: 317-253.2437 BILL TO SHIP TO Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Pkwy. 12120 Brookshire Pkwy. Carmel, IN 46033 Carmel, IN 46033 317-580-0375 (Kathy) P.O.NUMBER TERMS REP DELIVERY DATE Escrow RC 9/9/2016 QUANTITY SIZE DESCRIPTION PRICE EACH AMOUNT 1 1/6 bbl PDG pale 62.00 62.00 1 Case PDG pale 34.00 34.00T 1 Case Special K Kolsch 34.00 34.00T 0.00 SIGNATURE: ThattA cV=fmt yam&Muteas. TOTAL. $130.00 HTTP://WWW.BIERBREWERY.COM