HomeMy WebLinkAbout308367 02/22/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: S******'559.35`
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 308367
KOKOMOIN 46904-2856 CHECK DATE: 02/22/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 559.35 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ CITY OF CARMEL
PO BOX 2856 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
KOKOMO, IN 46904-2856
Payee
$449.35
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
683308 42-390.40 $449.35 I hereby certify that the attached invoice(s),or 2/23/17 683308 Beer We have a credit on the next Delv.Of $449.35
1207 101 1207 101 $110.00 from ck#308367
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, February 23,2017
,J
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
MIWAMERICA INVOICE
BEVERAGE BROOKSHIRE GOLF CLUB
INCE
CITY OF CARMEL
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903542 EXP. 07/13/17
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
02/23/17 683308 Dustin Smith 13 800 13
CODE QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT
BASE September 26, 2016
Wine W3428870
WEBSITE username: client
password : beerlover2l !
109 6 Bud 24 Lse Can 19.00 114.0(
209 10 Bud Lt 24 Lse Can 19.00 190.0(
909 3 Mich Ultra 24 Lse Can 21.30 63.9(
7025 3 Goose 312 2/12 Can 27. 15 81 .4`
V
Cases 22
TOTAL SALE 449.3:
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 f{
10405 EMPTY AB 1/4 30.00
10301 EMPTY CROWN 1/4 BBL 30.00 N
9230 PUMP DEPOSIT .`
K
9270 IMPORT PUMP DEPOSIT r` 449.3`.
TOTALRETURNS - e
® CREDITS
❑ Cash ❑ EFT ❑ Escrow ❑ Check Number U
Driver ZK Received By
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