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310177 04/11/17 Q CITY OF CARMEL, INDIANA VENDOR: 359294 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******339.40* CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 310177 KOKOMO IN 46904-2856 CHECK DATE: 04/11/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 339.40 FOOD & BEVERAGES n o ;K -u S < < \ r . \ j / / / 7 & n 0 � m ® m n = 22 9 m O z > / @ / o Z k ? / % S 0 2 < A g k # 00 6 q m / o T o IU. 6 j / / 0 v § > 2 CL -i 0z z 7 692 . O | j / § m 7 0 ¥ 5 _ J i 3 R / ® § E 0 % A gi 7 J 0 $ -ng 2 e a g m o f R - CL \ - m # f / § § m k > E ± & M. $ 3 § \ 7 0 E o f n� I § \ § kCL co % K 0 g Z m / q | o [ @ =r o « CIL(D m o E - # & > 8 k/ � \ § ) \ k or \ \k - 3 \ # , £ 0) -n < a co _ o �m tj 0 ƒ \ � § & © _ # f Z ; g % n 3 ( o %� k k / TLn 2. G Sr -n � \ \ j > R - 00 �E \ § CL§ / 70. 2 0 $ / } j E \ \ n $ z E § C \ " , � 0 M \ 2 / \ 0 A m a } M a , E § ) CIL _ 2 J CD E a 0 / C § ° \ MIMERICA INVOICE BEVERAGE CITY GOLF CLUB CITY OF CARMEL INC. 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 RR290,5542 EXP. 07113117 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 04/13/17 689029 Dustin Smith 13 800 13 DEPOSITPRODUCT DESCRIPTION PRICE • QUANTITY CODE 1 BASE September 26,2016 WINE W3428870 WEBSITE username: clien PASSWORD: beerlover2l ! 109 5 Bud 24 Lse Can 19.80 99.00 209 5 Bud Lt 24 Lse Can 19.80 99.00 408 2 B Lt Lime 2/12 Can 22.25 44.50 909 2 Mich Ultra 24 Lse Can 21 .30 42.60 7025 2 Goose 312 2/12 Can 27. 15 54.30 Cases 16 • TOTAL SALE 339.40 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 K 9270 IMPORT PUMP DEPOSIT 339.40 RETURNS rOTAL CHEDITS 00- Y O CREDITS ❑ Cash ❑ EFT ❑ Escrow Check Number / U Driver ' Received By