Loading...
304749 10/31/16 (9, CITY OF CARMEL, INDIANA VENDOR: 364942 ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: S""**"`359.44' CARMEL, INDIANA 46032 700 W MORRIS ST CHECK NUMBER: 304749 INDIANAPOLIS IN 46225-1447 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 2416138 359.44 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) REPUBLIC NATIONAL DIST COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 700 W MORRIS ST 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 46225-1447 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $359.44 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 2416138 42-390.40 $359.44 1 hereby certify that the attached invoice(s),or 10/20/16 2416138 Wine&Spirits $359.44 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, October 21,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 111111111111111111111111111 111 HIPHHIIC Hf� 11111111 ill 11111111 Ill S Ft(•i©�Jl:SHIR GOLF CLUB Lel CUSTOMER NO. CUSTOMER P.O.NUMBER INVOICE NUMBER CITY OF CARMEL. DISTRIBUTING COMPRNV LLC :������� ���� =41c5138 D 1_2120 BROOKSHIRiE PKWY ORDER NO. PERMIT/LICENSE NO. TYPE INVOICE DATE OO W. mopris Stet 29-0342 ALLL0l20l16 T = O Ci RHEL (; IH 46032 INDIANAPOLIS, IN 462=15•-•1447 ROUTE STOP EXPIRATION DATtNO. (317)-291-96'12 (317)-636-4880 61.11, OO5 1)7/13/17 NYS SPECIAL INSTRUCTIONS: STATE PERMIT W49-091-33 SHIPMENT NO. DIV.NO.SALES NO.DIV.NO.SALES NO.DIV.NO.SO.SALES NO. 55778 1;2.13 1.2213 132`13 DELIVERY NOTES: VENDOR ID NUMBER INVOICE TE DATE i nvalct "f 145 •X:4- PRINTED 2016 10 19 :3s 151: 37: 43 ITEM NUMBER . LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT UNIT COST NET BOTTLE NET PRICE BULK LOC. UPC VINTAGE PRICE DEAL# COST 4122 RD44 BASIL HAYnEN BEIM 30 i'S0M 6 1 33. 40 30. 40 . 00 OO 00 1. t7P1.11, 08063601. ?405 131449 45233 !005 CRUZAN CITRUS RUM L 12 1 18. 42 18. 02 18. 02 1.8. 02 a 'S06.869674SO 354903 1311!3 IREDA" L C1NN W1110(Y 1L 12 3 15. 74 15. 74 15. 74 47. 22 3088004144678 1.24SE7 5413 RH03 . ACK DANIELS BLK WHSKY JL 12 1 33. 3^c 33. 811-1 33. 32 :35. 32 4 052184090442 5704 E403 JACK DANIELS •TEr•N HNY WHSKY 1L 1:2 2 33. 32 33. 32 33. 32 cab. 64 4154 RN63 KNOB CREEK BBI-4 9YR 1L 6 2 43. 87 43. 87 43. 87 Si. 74 6 61;'K 0806860162051'314 iii' 97033 ;A03 1AKERS MARK 90 1L 12 2 37, 75- 37. 75 37. 75 75. 50 7 085,34612942 1.31. X49 ST4317 YE14- DPCHATO CINN Cr%:EAN RUN 1L 12 2 16. 2F, . 7S 15. 5O 15. 5,0 31. 00 8 0800401.63c3c'3- 3296357 p} O U Lu To helrs' R!Y!bc be r'itaM d F +, E IeA-se' hm1r) bu coTisol.ida ina uour cte7Aver:ips. O H U) _ _ U • RETURN CODES: A-Out of Stock LIQUOR LITERS/GALS. WINE LITERS/GALS. BEER LITERS/GALS. B-Picking Error IFDid not order C-Too Eady/roo late 14 14 ! 1 2-Pricing Error D-Damaged on Truck 3 fr.3 3-Out of Business E-No Mon • 4-Duplicate F-0Office Cancel 359. 'a4 GH WINE LITERS GALS. LOW WINE LITERS/GALS. SPARKLING LITERS/GALS. 6-Won't scan or not authorized H-Defective CHECK If J-Short on Truck ACCEPTED K" REC IVED BY X J ` y CHECK AMOUNT I,as the licensee,agent of this licensee;br employee thereof of the business accept the merchandise shown on the invoice and certify that to the best of my knowledge there has been no change in PATE Iownership of this business without notification to the State Alcohol Board and is the holder of an DATE: TIME: effective pennitAicense.There will be a$50 service charge for any dishonored check.We are not Commoo ICamoer.breakage, loss, or damage to merchandise after delivery or acceptance by V-\,T C)