HomeMy WebLinkAbout304233 10/19/16 1 F4q
CITY OF CARMEL, INDIANA VENDOR: 370378
�i ONE CIVIC SQUARE BIER BREWERY &TAP ROOM CHECK AMOUNT: $*******286.00*
CARMEL, INDIANA 46032 5133 E 65TH CHECK NUMBER: 304233
INDIANAPOLIS IN 46220 CHECK DATE: 10/19/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 101916 286.00 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
BIER BREWERY&TAP ROOM ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
5133 E 65TH IN SUM OF$ 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.
$286.00 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
7389 42-390.40 $286.00 1 hereby certify that the attached invoice(s),or 10/21/16 7389 Beer $286.00
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,October 19,2016
7 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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
rBiER BREWERY&TAP ROOM INVOICE
5133 E. 65TH STREET
INDIANAPOLIS, IN 46220 DATE INVOICE#
29r10/21/2016 7389
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 10/21/2016
QUANTITY SIZE DESCRIPTION PRICE EACH AMOUNT
1 1/6 bbl PDG Pale Ale 62.00 62.00
2 Case Weizengoot 32.00 64.00T
2 Case Special K Kolsch 32.00 64.00T
3 Case PDG Pale Ale 32.00 96.00T
0.00
SIGNATURE:
.J hanPi[ym f"cyawi&04wa! TOTAL $286.00
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